Active NPI
Sunshine Behavioral Health LLC
- Substance Abuse Rehabilitation Facility
- Trabuco Canyon, CA
National Provider Identifier
1356903553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300311CP | Other | CA | CALIFORNIA DHCS |
Other names 1
- Monarch Shores
National Provider Directory
National Provider Directory- Tax ID family
- Sunshine Behavioral Health LLC
- Part of
- Sunshine Behavioral Health LLC
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Organizations that report the same tax identification number in the National Provider Directory.
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-
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- NPI 1033502091
-
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-
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-
- Substance Abuse Rehabilitation Facility
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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.