SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION


Address: 1068 San Pablo Cir, Costa Mesa, CA 92626-1614
Phone: 7147604052

SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION (NPI# 1679061816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679061816
Entity Type Organization
Organization Name SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATION
Other Organization Name SPARTAN HOUSE, LLC
Practice Address 1068 San Pablo Cir
Costa Mesa
CA 92626-1614
Mailing Address 3151 Airway Ave Ste T2
Costa Mesa
CA 92626-4627
Practice Telephone 7147604052
Enumeration Date 2018-04-24
Last Update Date 2018-04-24
Authorized Official Name DR. LORNA PHAM (QUALITY ASSURANCE DIRECTOR)
Authorized Official Telephone 9492370893
Authorized Official Credential PSYD
Is Organization Subpart Y
Parent Organization Name SOUTH COAST BEHAVIORAL HEALTH GUESTHOUSE INCORPORATED

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 300313FP CA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Spartan House, LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578051710 South Coast Behavioral Health Guesthouse Incorporation Substance Abuse Rehabilitation Facility 275 E Wilson St, Costa Mesa, CA 92627-1574 2018-04-24
1760970909 South Coast Behavioral Health Guesthouse Incorporation Substance Abuse Rehabilitation Facility 559 Pierpont Dr, Costa Mesa, CA 92626-3108 2018-04-24
1013405257 South Coast Behavioral Health Guesthouse Incorporation Substance Abuse Rehabilitation Facility 1958 Balearic Dr, Costa Mesa, CA 92626-3513 2018-04-24
1669960803 South Coast Behavioral Health Guesthouse Incorporation Substance Abuse Rehabilitation Facility 5302 Kenilworth Dr, Huntington Beach, CA 92649-4527 2018-04-24
1093202434 South Coast Behavioral Health Guesthouse Incorporation Substance Abuse Rehabilitation Facility 3151 Airway Ave Ste T2, Costa Mesa, CA 92626-4627 2018-04-20

Office Location

Street Address 1068 SAN PABLO CIR
City COSTA MESA
State CA
Zip Code 92626-1614

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
1316564610 Timo Rosa Behavior Technician 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 2020-07-02
1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
1396383022 The Open Table Community/Behavioral Health 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 2019-12-12
1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
1346897147 Jennifer Lopez Behavior Technician 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 2019-08-26
1679134084 Danny Garcia Chiropractic, PC Chiropractor 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 2019-06-26
Find all providers in zip 92626

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538782198 Asana Recovery Substance Abuse Rehabilitation Facility 3062 Johnson Ave, Costa Mesa, CA 92626-2819 2020-05-18
1720644602 The Stephouse Recovery, Inc. Substance Abuse Rehabilitation Facility 1601 Baker St, Costa Mesa, CA 92626-3701 2019-05-15
1689137689 Hotel California By The Sea, LLC Substance Abuse Rehabilitation Facility 1509 Orange Ave # A, Costa Mesa, CA 92627-3718 2019-04-08
1770046773 Hotel California By The Sea, LLC Substance Abuse Rehabilitation Facility 1509 Orange Ave # B, Costa Mesa, CA 92627-3718 2019-04-08
1740742840 Hotel California By The Sea, LLC Substance Abuse Rehabilitation Facility 317 Rochester St, Costa Mesa, CA 92627-3113 2019-04-05
1245791961 National Therapeutic Services, Inc Substance Abuse Rehabilitation Facility 131 E Wilson St, Costa Mesa, CA 92627-9455 2019-03-26
1134680853 National Therapeutic Services, Inc Substance Abuse Rehabilitation Facility 2417 Orange Ave, Costa Mesa, CA 92627-5102 2019-03-26
1598226219 National Therapeutic Services, Inc Substance Abuse Rehabilitation Facility 321 Cabrillo St, Costa Mesa, CA 92627-3122 2019-03-26
1316408032 National Therapeutic Services, Inc Substance Abuse Rehabilitation Facility 327 Cabrillo St, Costa Mesa, CA 92627-3123 2019-03-26
1104391127 Windward Way Recovery LLC Substance Abuse Rehabilitation Facility 2136 Thurin St Unit A, Costa Mesa, CA 92627-6067 2018-10-05
Find all providers in COSTA MESA

Competitor

Search similar providers

City COSTA MESA
Zip Code 92626

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Dataset Information

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.

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