SHORE LIGHT BEHAVIORAL HEALTH LLC
NPI 1902602402
Clinic/Center - Adult Mental Health in Mission Viejo, CA

NPI Status: Active since February 24, 2025

Contact Information

25542 RHODA DR
MISSION VIEJO, CA
ZIP 92691
Phone: (888) 486-6717

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About SHORE LIGHT BEHAVIORAL HEALTH LLC

This page provides the complete NPI Profile along with additional information for Shore Light Behavioral Health Llc, a provider established in Mission Viejo, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1902602402 assigned on February 2025. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Stephen Vanhooser (Director Of Compliance)

NPI
1902602402
Provider Name
SHORE LIGHT BEHAVIORAL HEALTH LLC
Entity Type
Organization
Location Address
25542 RHODA DR MISSION VIEJO, CA 92691
Location Phone
(888) 486-6717
Mailing Address
2955 E 1ST AVE STE 200 DENVER, CO 80206
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-24-2025
Last Update Date
02-24-2025
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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

STEPHEN VANHOOSER

Authorized Official Title
DIRECTOR OF COMPLIANCE
Authorized Official Phone
(949) 750-2014

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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.
1902602402
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902120440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 2 + 0 + 4 + 4 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1902602402 is valid because the calculated check digit 2 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
1790347995SUNSHINE BEHAVIORAL HEALTH LLC
Organization
Substance Abuse Rehabilitation Facility25542 RHODA DR
MISSION VIEJO, CA 92691
(949) 988-0471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902602402, enumerated in the NPI registry as an "organization" on February 24, 2025

The provider is located at 25542 Rhoda Dr Mission Viejo, Ca 92691 and the phone number is (888) 486-6717

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on February 24, 2025. 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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