MONARCH SHORES (SUNSHINE BEHAVIORAL HEALTH) (NPI# 1033502091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033502091 |
Entity Type | Organization |
Organization Name | MONARCH SHORES (SUNSHINE BEHAVIORAL HEALTH) |
Other Organization Name | MONARCH SHORES |
Practice Address |
34575 Camino Capistrano Dana Point CA 92624-1231 |
Mailing Address |
27123 Calle Arroyo Ste. 2121 San Juan Capistrano CA 92675 |
Practice Telephone | 9498354359 |
Practice Fax Number | 9494291845 |
Mailing Telephone | 9498354359 |
Mailing Fax Number | 9494291845 |
Enumeration Date | 2015-03-13 |
Last Update Date | 2019-07-19 |
NPI Deactivation Date | 07/08/2019 |
NPI Reactivation Date | 2019-07-19 |
Authorized Official Name | MR. JARED RAYMOND (COO) |
Authorized Official Telephone | 9498354359 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | 300311BP | CA | Residential Treatment Facilities |
N | 324500000X | Substance Abuse Rehabilitation Facility | 300311CP | CA | Residential Treatment Facilities |
N | 324500000X | Substance Abuse Rehabilitation Facility | 300311FP | CA | Residential Treatment Facilities |
N | 324500000X | Substance Abuse Rehabilitation Facility | 300311HP | CA | Residential Treatment Facilities |
N | 324500000X | Substance Abuse Rehabilitation Facility | 300311DP | CA | Residential Treatment Facilities |
Y | 324500000X | Substance Abuse Rehabilitation Facility | 300311AP | CA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENSE | 300311AP | 01 |
Other Name | Type Code |
---|---|
Monarch Shores | Doing Business As Name - Organization |
Street Address |
34575 CAMINO CAPISTRANO |
City | DANA POINT |
State | CA |
Zip Code | 92624-1231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326690249 | Sunshine Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 34575 Camino Capistrano, Dana Point, CA 92624-1231 | 2019-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780165662 | Alerra, LLC | Radiology | 34443 Via Verde, B, Capistrano Beach, CA 92624 | 2018-08-28 |
1326417650 | Statmobile, Inc. | Clinic/Center | 34443 Via Verde B, Capistrano Beach, CA 92624 | 2015-09-16 |
1063763142 | Virginia Schoenfeld | Naturopath | 26933 Camino De Estrella Ste B, Dana Point, CA 92624 | 2012-09-28 |
1801945175 | Daniel Marcos Sarinana | Massage Therapist | 27045 Camino De Estrella, Unit B, Capistrano Beach, CA 92624 | 2007-01-09 |
1922102094 | Robert William Sears | Pediatrics | 26933 Camino De Estrella, Suite #a, Capistrano Beach, CA 92624 | 2006-09-11 |
1457916918 | Care Direct LLC | Occupational Therapy Assistant | 34641 Via Catalina, Unit B, Capistrano Beach, CA 92624 | 2019-05-09 |
1225578966 | Southern California Medical Centers, LLC | Psychiatry & Neurology | 34249 Camino Capistrano, Suite 104, Capistrano Beach, CA 92624 | 2017-02-28 |
1629469804 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 34249 Camino Capistrano, Suite 102, Capistrano Beach, CA 92624 | 2015-02-10 |
1679906119 | Tml Recovery, LLC | Clinic/Center | 34249 Camino Capistrano, Capistrano Beach, CA 92624 | 2013-08-20 |
1649374729 | James Michael Sears | Pediatrics | 26933 Camino De Estrella, Suite #a, Capistrano Beach, CA 92624 | 2006-09-11 |
Find all providers in zip 92624 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881256071 | Sunshine Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 35072 Camino Capistrano, Dana Point, CA 92624-1731 | 2019-07-08 |
1104380047 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 34469 Camino El Molino, Dana Point, CA 92624-1070 | 2019-01-24 |
1023581691 | Oceanway Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 35492 Del Rey, Dana Point, CA 92624-1836 | 2019-01-07 |
1851802458 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 35402 Camino Capistrano, Dana Point, CA 92624-1805 | 2017-10-23 |
1275069684 | Mission Rehab, LLC. | Substance Abuse Rehabilitation Facility | 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 | 2017-05-04 |
1306370192 | Luminance Health Group, Inc. | Substance Abuse Rehabilitation Facility | 24662 El Camino Capistrano, Dana Point, CA 92629-3012 | 2017-04-18 |
1215468681 | Ocean Hills Recovery, Inc | Substance Abuse Rehabilitation Facility | 33402 Palo Alto St, Dana Point, CA 92629-1435 | 2017-03-27 |
1831620202 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 34062 Amber Lantern St, Dana Point, CA 92629-2522 | 2017-03-27 |
1699216903 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 33701 Big Sur St, Dana Point, CA 92629-2011 | 2017-03-20 |
1922548452 | Dana Point Rehab Campus | Substance Abuse Rehabilitation Facility | 33842 Orilla Rd, Dana Point, CA 92629 | 2017-03-02 |
Find all providers in DANA POINT |
City | DANA POINT |
Zip Code | 92624 |
Please comment or provide details below to improve the information on MONARCH SHORES (SUNSHINE BEHAVIORAL HEALTH).
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.