Liberty Housing Services Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIBERTY HOUSING SERVICES INC.

Doing business as

Blue Coast Behavioral Health, Inc.

Practice address

4029 Westerly PL Ste 101
Newport Beach, CA 92660-2329

Phone

(714) 875-5479

Fax

(714) 591-0933

NPI assigned

Feb 1, 2021

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

LIBERTY HOUSING SERVICES INC.As reported in NPPES

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

Authorized official

Name

May Abdelnaby

Title

Owner

Phone

(714) 875-5479

Specialties & licenses 1

Addresses

Other names 1

• Blue Coast Behavioral Health, Inc. Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Liberty Housing Services Inc3 organizations share this tax ID, including this one

Part of

Liberty Housing Services Inc

Other organizations with this tax ID 2

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

• Liberty Housing Service

  dba New Start Detox

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1649718677
  NPD tax ID
• Liberty Housing Services Inc.

  dba New Start

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1568705317
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Liberty Housing Service

  dba New Start Detox

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1649718677
  NPPES parent name

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1548851652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17602 17TH ST # 102-123",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801961",
            "telephone_number": "714-463-6572",
            "fax_number": "714-591-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 WESTERLY PL STE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602329",
            "telephone_number": "714-875-5479",
            "fax_number": "714-591-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOUSING SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY HOUSING SERVICES INC.",
        "enumeration_date": "2021-02-01",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "ABDELNABY",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-875-5479"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Coast Behavioral Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Coast Behavioral Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janie C Liao, M.D.
• Jessica Liao, MD
• Justin Liao, M.D
• Solomon Liao, MD
• Joanna Margaret Libby, MD
• Lisa Ann Licavoli, R.D.
• Jay P. Lichman, M.D.
• Amber Licona
• Lido Pharmacy LLC (Newport Lido Pharmacy)
• Lido Pharmacy LLC (Pacific LTC Pharmacy)

• Substance Abuse Rehabilitation Facility in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.