NPIMap

Organization Active NPI

South Coast Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
National Provider Identifier
1669960803
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300313CP Issued in CA
Legal business name
SOUTH COAST BEHAVIORAL HEALTH
Practice address
5302 Kenilworth Dr
Huntington Beach, CA 92649-4527
Phone
(657) 329-0700
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Kylee Briney
Title
Executive Director
Phone
(949) 531-1821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300313CP CA Primary

Addresses

Primary practice location

5302 Kenilworth Dr
Huntington Beach, CA 92649-4527

Mailing address

2220 University Dr
Newport Beach, CA 92660-3319

Other names 1

  • Gemini House, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Coast Behavioral Health11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1669960803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 UNIVERSITY DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 KENILWORTH DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494527",
            "telephone_number": "657-329-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "BRINEY",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-531-1821"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300313CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gemini House, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gemini House, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.