SHORE BEHAVIORAL LLC
NPI 1457022865
Clinic/Center - Rehabilitation, Substance Use Disorder in Indianapolis, IN
NPI Status: Active since September 24, 2021
Contact Information
4102 SHORE DR
INDIANAPOLIS, IN
ZIP 46254
Phone: (513) 489-7100
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- Accepts Insurance
- CLIA Number: 15D2296145
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 12-20-2025
About SHORE BEHAVIORAL LLC
This page provides the complete NPI Profile along with additional information for Shore Behavioral Llc, a provider established in Indianapolis, Indiana operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1457022865 assigned on September 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's
- NPI
- 1457022865
- Provider Legal Name
- SHORE BEHAVIORAL LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4102 SHORE DR INDIANAPOLIS, IN 46254
- Location Phone
- (513) 489-7100
- Mailing Address
- 10123 ALLIANCE RD BLUE ASH, OH 45242
- Mailing Phone
- (513) 530-1808
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-24-2021
- Last Update Date
- 05-01-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2296145
- Facility Type
- Hospital
- Certificate Effective Date
- December 21, 2023
- Certificate Expiration Date
- December 20, 2025
- Laboratory Director
- STEVE SCHNEIDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shore Behavioral Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SHORE BEHAVIORAL LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 0 | 2 | 2 | 8 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 0 | 2 | 4 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 0 + 2 + 4 + 8 + 1 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1457022865 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598912776 | TANYA RIVERA PT Individual | Physical Therapist | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 347-9051 |
| 1023265204 | KRISTEN NICOLE MELANDER M.A. CCC-SLP Individual | Speech-Language Pathologist | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 347-9051 |
| 1265689384 | MRS. PAULA ELIZABETH ADAMS COTA Individual | Occupational Therapy Assistant | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 347-9051 |
| 1104073063 | JERRY JONES PTA Individual | Physical Therapy Assistant | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 347-9051 |
| 1861637134 | MEGAN L. BEVINGTON MS, CCC-SLP Individual | Speech-Language Pathologist | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 347-9051 |
| 1861833311 | HANCOCK REGIONAL HOSPITAL Organization | Skilled Nursing Facility | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 347-9051 |
| 1053080663 | SHORE BEHAVIORAL LLC Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 4102 SHORE DR INDIANAPOLIS, IN 46254 (513) 489-7100 |
| 1073200879 | YOLANDA CARRIE JONES MSW, LSW Individual | Social Worker | 4102 SHORE DR INDIANAPOLIS, IN 46254 (328) 027-0017 |
| 1184327645 | NOELLE HORAN Individual | Registered Nurse | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 280-2700 |
| 1760161509 | JOSEPH A AGUNBIADE Individual | Registered Nurse | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 340-2599 |
| 1447407580 | JYOTHSNA VANGURU PT Individual | Physical Therapist | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 347-9051 |
| 1730889718 | ALYSSA JADE SPEARS LCSW Individual | Social Worker (Clinical) | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 280-2700 |
| 1669280293 | BOLUWAJI IYIOLA Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 597-2117 |
| 1437866324 | LYNX INDIANA LLC Organization | Ambulance | 4102 SHORE DR INDIANAPOLIS, IN 46254 (317) 347-9051 |
| 1982343877 | SHORE BEHAVIORAL LLC Organization | Psychiatric Hospital | 4102 SHORE DR INDIANAPOLIS, IN 46254 (513) 489-7100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457022865, enumerated in the NPI registry as an "organization" on September 24, 2021
The provider is located at 4102 Shore Dr Indianapolis, In 46254 and the phone number is (513) 489-7100
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 15D2296145 for a "hospital" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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