SHORELINE BEHAVIORAL HEALTH, LLC
NPI 1831740547
Substance Abuse Rehabilitation Facility in Laveen, AZ

NPI Status: Active since September 24, 2019

Contact Information

4514 W HASAN DR
LAVEEN, AZ
ZIP 85339
Phone: (623) 213-5356

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  • Organization
  • Substance Abuse Rehabilitation Facility

About SHORELINE BEHAVIORAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Shoreline Behavioral Health, Llc, a provider established in Laveen, Arizona operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1831740547 assigned on September 2019. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Shoreline Behavioral Health, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Sade Collins (Director)

NPI
1831740547
Provider Name
SHORELINE BEHAVIORAL HEALTH, LLC
Entity Type
Organization
Location Address
4514 W HASAN DR LAVEEN, AZ 85339
Location Phone
(623) 213-5356
Mailing Address
1816 W MAGDALENA LN PHOENIX, AZ 85041
Mailing Phone
(623) 213-5356
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2019
Last Update Date
09-24-2019
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Location Map

Secondary Locations

  • 1816 W Magdalena Ln
    Phoenix, AZ 85041
    (623) 213-5356

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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2251S00000XAgencies

Community/Behavioral Health

 
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SADE COLLINS

Authorized Official Title
DIRECTOR
Authorized Official Phone
(623) 213-5356

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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.
1831740547
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861144058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 4 + 4 + 0 + 5 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1831740547 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396596755MEGAOASIS HOMECARE AGENCY LLC
Organization
Home Health4514 W HASAN DR
LAVEEN, AZ 85339
(239) 745-2517

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831740547, enumerated in the NPI registry as an "organization" on September 24, 2019

The provider is located at 4514 W Hasan Dr Laveen, Az 85339 and the phone number is (623) 213-5356

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on September 24, 2019. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.