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SHORE BEHAVIORAL LLC
NPI 1982343877
Psychiatric Hospital in Indianapolis, IN

Active since May 31, 2022
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.

About Shore Behavioral Llc NPPES

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

SHORE BEHAVIORAL LLC (NPI 1982343877), doing business as Ethan Crossing Addiction Campus Of Indianapolis, is a healthcare organization registered as a psychiatric hospital in Indianapolis, Indiana and active in the NPI registry since May 2022. The organization lists Yitzhak Rosedale, President, as its authorized official.

NPPES Registry Identity

NPI1982343877
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSHORE BEHAVIORAL LLC
Location Address4102 SHORE DRIndianapolis, IN 46254-2608
Mailing Address10123 Alliance RdBlue Ash, OH 45242-4887 · (513) 530-1808
Phone(513) 489-7100
Organization SubpartNo
Authorized OfficialYitzhak RosedalePresident · (513) 530-1808
Enumeration DateMay 31, 2022
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1982343877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
4102 SHORE DR, Indianapolis, IN 46254
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Other Names 1

Doing Business AsEthan Crossing Addiction Campus Of Indianapolis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Ethan Crossing Addiction Campus Of Indianapolis (CMS certification number 154071), from CMS Care Compare.

Ethan Crossing Addiction Campus Of Indianapolis

Psychiatric · Indianapolis, IN
OwnershipProprietary
CMS Certification Number154071
Location4102 Shore DriveIndianapolis, IN 46254 · Marion County · (937) 657-8152

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.

KRISTEN NICOLE MELANDER M.A. CCC-SLP
Speech-Language Pathologist
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051
SHORE BEHAVIORAL LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (513) 489-7100
YOLANDA CARRIE JONES MSW, LSW
Social Worker
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (328) 027-0017
JERRY JONES PTA
Physical Therapy Assistant
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051
NOELLE HORAN
Registered Nurse
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 280-2700
MRS. PAULA ELIZABETH ADAMS COTA
Occupational Therapy Assistant
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051
JULIET UJUNWA CHINWEZE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 280-2718
LYNX INDIANA LLC
Ambulance
4102 SHORE DR
INDIANAPOLIS, IN 46254
Marion County (317) 347-9051

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 1982343877. It was assigned to this organization in the NPPES registry on May 31, 2022. 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 Psychiatric Hospital with taxonomy code 283Q00000X.

Is Shore Behavioral LLC a Medicare-certified hospital?

Yes. Ethan Crossing Addiction Campus Of Indianapolis is a Medicare-certified hospital (Psychiatric).

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.