Provider Demographics
NPI:1073175279
Name:SUNSHINE BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:SUNSHINE BEHAVIORAL HEALTH LLC
Other - Org Name:MONARCH SHORES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANHOOSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-750-2014
Mailing Address - Street 1:2955 E 1ST AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5636
Mailing Address - Country:US
Mailing Address - Phone:949-750-2014
Mailing Address - Fax:
Practice Address - Street 1:283 UPLAND RD
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-3927
Practice Address - Country:US
Practice Address - Phone:949-877-6873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA300311FPOtherCALIFORNIA DHCS