Shore Behavioral LLC
NPI 1053080663 · Substance Use Disorder Rehabilitation Clinic/Center · Indianapolis, IN
Shore Behavioral LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Indianapolis, IN (NPI 1053080663).
Provider details
- NPI number
- 1053080663
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Isaac Rosedale, President(513) 489-7100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-08
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Frequently asked questions
- What is Shore Behavioral LLC's NPI number?
- Shore Behavioral LLC's National Provider Identifier (NPI) is 1053080663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shore Behavioral LLC?
- Shore Behavioral LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shore Behavioral LLC located?
- Shore Behavioral LLC's practice location on file with NPPES is 4102 Shore Dr, Indianapolis, IN 46254-2608.
- What is Shore Behavioral LLC's phone number?
- The practice phone number listed in the NPPES registry for Shore Behavioral LLC is (513) 489-7100.
- Who is the authorized official for Shore Behavioral LLC?
- The authorized official listed on Shore Behavioral LLC's NPPES record is Isaac Rosedale, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shore Behavioral LLC's NPI active?
- Yes — Shore Behavioral LLC's NPI (1053080663) is active in the NPPES registry as of the last update on 2021-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.