Shoreline Recovery Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHORELINE RECOVERY CENTER, LLC

Practice address

183 Calle Magdalena Ste 101
Encinitas, CA 92024-3793

Phone

(858) 900-5079

NPI assigned

Dec 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Wilson

Title

LLC Manager/Ceo

Phone

(858) 900-5079

Specialties & licenses 1

Addresses

Tax ID family

Shoreline Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shoreline Recovery Center, LLC

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1598348294
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1003322033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 2ND ST # 192",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245008",
            "telephone_number": "858-900-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 CALLE MAGDALENA STE 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243793",
            "telephone_number": "858-900-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LLC MANAGER/CEO",
        "authorized_official_telephone_number": "858-900-5079"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Shih, M.D.
• Diana Marie Shimkus, LCSW
• Ji Shin
• Stephanie Shin, MD
• Brittany Shinmoto
• Davida Shreiber, LCSW
• Shrilekha Champaneri M D Inc
• Susan Shrinkle, MS, MFT
• Karen A Shuff
• Mieko Martha Sie, L.AC., H.H.P.

• Community/Behavioral Health Agency in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.