NPIMap

Organization Active NPI

Shoreline Treatment Center, LLC

Doing business as Shoreline Center for Eating Disorder Treatment

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laguna Hills, CA
National Provider Identifier
1538692918
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
37703 Issued in CA
Legal business name
SHORELINE TREATMENT CENTER, LLC
Doing business as
Shoreline Center for Eating Disorder Treatment
Practice address
25401 Cabot Rd
Suite 219
Laguna Hills, CA 92653-5524
Phone
(615) 864-8145
Fax
(562) 856-2370
NPI assigned
Apr 4, 2017
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Ms. Scott Sarnacke
Title
Cfo
Phone
(615) 442-7689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 37703 CA Primary

Addresses

Primary practice location

25401 Cabot Rd
Suite 219
Laguna Hills, CA 92653-5524

Mailing address

191 Argonne Ave
Ste 3
Long Beach, CA 90803-3231
Phone (615) 864-8145

Other names 1

  • Shoreline Center for Eating Disorder Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shoreline Treatment Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

25401 Cabot Rd
Ste 219
Laguna Hills, CA 92653

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1538692918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ARGONNE AVE",
            "address_2": "STE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033231",
            "telephone_number": "615-864-8145",
            "fax_number": "562-856-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD",
            "address_2": "SUITE 219",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535524",
            "telephone_number": "615-864-8145",
            "fax_number": "562-856-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "SARNACKE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-442-7689",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "37703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Center for Eating Disorder Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shoreline Center for Eating Disorder Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.