SHORE BEHAVIORAL LLC
NPI 1457022865
Clinic/Center - Rehabilitation, Substance Use Disorder in Indianapolis, IN

Active since September 24, 2021
4102 SHORE DR, INDIANAPOLIS, IN 46254(513) 489-7100 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2024, Sep 24, 2021 (2 updates tracked since 2021).

About Shore Behavioral Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORE BEHAVIORAL LLC (NPI 1457022865), doing business as Ethan Crossing Addiction Campus Of Indianapolis, is a healthcare organization registered as a rehabilitation, substance use disorder in Indianapolis, Indiana and active in the NPI registry since September 2021. The organization lists Yitzchak Rosedale, President, as its authorized official.

NPPES Registry Identity

NPI1457022865
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSHORE BEHAVIORAL LLC
Location Address4102 SHORE DRIndianapolis, IN 46254-2608
Mailing Address10123 Alliance RdBlue Ash, OH 45242-4887 · (513) 530-1808
Organization SubpartNo
Authorized OfficialYitzchak RosedalePresident · (513) 530-1808
Enumeration DateSeptember 24, 2021
Last NPPES UpdateMay 1, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
NPI 1457022865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4102 SHORE DR, Indianapolis, IN 46254

Other Names 1

Doing Business AsEthan Crossing Addiction Campus Of Indianapolis

Accepted Insurance

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
4102 SHORE DR
INDIANAPOLIS, IN 46254
Clinic/Center (Rehabilitation, Substance Use Disorder)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Social Worker
4102 SHORE DR
INDIANAPOLIS, IN 46254
Physical Therapy Assistant
4102 SHORE DR
INDIANAPOLIS, IN 46254
Registered Nurse
4102 SHORE DR
INDIANAPOLIS, IN 46254
Occupational Therapy Assistant
4102 SHORE DR
INDIANAPOLIS, IN 46254
Nurse Practitioner (Psychiatric/Mental Health)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Ambulance
4102 SHORE DR
INDIANAPOLIS, IN 46254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shore Behavioral LLC's NPI number?

The NPI number for Shore Behavioral LLC is 1457022865. It was assigned to this organization in the NPPES registry on September 24, 2021. The provider is doing business as Ethan Crossing Addiction Campus of Indianapolis.

Where is Shore Behavioral LLC located?

Shore Behavioral LLC is located at 4102 Shore Dr, Indianapolis, IN 46254. The listed phone number is (513) 489-7100.

What is Shore Behavioral LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Shore Behavioral LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shore Behavioral LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shore Behavioral LLC was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.