SHORE LIGHT BEHAVIORAL HEALTH LLC
NPI 1518763028
Clinic/Center - Adult Mental Health in San Clemente, CA

Active since February 24, 2025
3904 CALLE REAL, SAN CLEMENTE, CA 92673(888) 486-6717 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shore Light Behavioral Health Llc NPPES

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

SHORE LIGHT BEHAVIORAL HEALTH LLC (NPI 1518763028) is a healthcare organization registered as an adult mental health in San Clemente, California and active in the NPI registry since February 2025. The organization lists Stephen Vanhooser, Director Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1518763028
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSHORE LIGHT BEHAVIORAL HEALTH LLC
Location Address3904 CALLE REALSan Clemente, CA 92673-2625
Mailing Address2955 E 1st Ave Ste 200Denver, CO 80206-5636
Organization SubpartNo
Authorized OfficialStephen VanhooserDirector Of Compliance · (949) 750-2014
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
NPI 1518763028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3904 CALLE REAL, San Clemente, CA 92673

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility
3904 CALLE REAL
SAN CLEMENTE, CA 92673

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 Light Behavioral Health LLC's NPI number?

The NPI number for Shore Light Behavioral Health LLC is 1518763028. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Shore Light Behavioral Health LLC located?

Shore Light Behavioral Health LLC is located at 3904 Calle Real, San Clemente, CA 92673. The listed phone number is (888) 486-6717.

What is Shore Light Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Shore Light Behavioral Health LLC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.