Organization Active NPI

Sunshine Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Trabuco Canyon, CA
National Provider Identifier
1356903553
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SUNSHINE BEHAVIORAL HEALTH LLC
Practice address
21411 Vista Dr
Trabuco Canyon, CA 92679-3397
Phone
(949) 988-0471
Fax
(949) 325-7818
NPI assigned
Jul 8, 2019
Organization subpart
Yes
Parent organization
SUNSHINE BEHAVIORAL HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Stephen Vanhooser
Title
Director of Compliance
Phone
(949) 750-2014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

21411 Vista Dr
Trabuco Canyon, CA 92679-3397

Mailing address

Dept#880600 PO Box 29650
Phoenix, AZ 85038
Phone (949) 988-0471

Other identifiers 1

IdentifierTypeStateIssuer
300311CPOtherCACALIFORNIA DHCS

Other names 1

  • Monarch Shores Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Behavioral Health LLC7 organizations share this tax ID, including this one
Part of
Sunshine Behavioral Health LLC

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1356903553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT#880600 PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85038",
            "telephone_number": "949-988-0471",
            "fax_number": "949-325-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21411 VISTA DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793397",
            "telephone_number": "949-988-0471",
            "fax_number": "949-325-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNSHINE BEHAVIORAL HEALTH LLC",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "VANHOOSER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "949-750-2014"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DHCS",
            "identifier": "300311CP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Shores",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monarch Shores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trabuco Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.