Ethan Crossing Addiction Campus Of Indianapolis

LBN: Shore Behavioral Llc
Ethan Crossing Addiction Campus Of Indianapolis is an health care organization with primary practice located at 4102 Shore Dr , Indianapolis IN 46254-2608. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Shore Behavioral Llc can be contacted via phone (513) 489-7100, or through Rosedale, Isaac via phone (513) 489-7100.

Contact Information

Primary practice address
4102 Shore Dr Indianapolis IN 46254-2608
Phone: (513) 489-7100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rosedale, Isaac
Phone: (513) 489-7100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1457022865
LBN Legal business name Shore Behavioral Llc
DBA Doing business as Ethan Crossing Addiction Campus Of Indianapolis
Authorized official Rosedale, Isaac
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2021
Last updated May 10th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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