NPIMap

Organization Active NPI

Liberty Housing Service

Doing business as New Start Detox

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
National Provider Identifier
1649718677
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300249BP Issued in CA
Legal business name
LIBERTY HOUSING SERVICE
Doing business as
New Start Detox
Practice address
13832 Glenmere Dr
Santa Ana, CA 92705-2812
Phone
(714) 332-3143
Fax
(714) 486-2127
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
May Fielding
Title
Ceo
Phone
(714) 875-5479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300249BP CA Primary

Addresses

Primary practice location

13832 Glenmere Dr
Santa Ana, CA 92705-2812

Mailing address

17602 17TH St Ste 102-123
Tustin, CA 92780-1961
Phone (714) 875-5479

Other names 1

  • New Start Detox Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Liberty Housing Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1649718677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17602 17TH ST STE 102-123",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801961",
            "telephone_number": "714-875-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13832 GLENMERE DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052812",
            "telephone_number": "714-332-3143",
            "fax_number": "714-486-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOUSING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-875-5479"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300249BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Start Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.