SOUTH COAST BEHAVIORAL HEALTHCARE
NPI 1538987664
Substance Abuse Rehabilitation Facility in Oklahoma City, OK

NPI Status: Active since September 27, 2024

Contact Information

4825 NW 23RD ST
OKLAHOMA CITY, OK
ZIP 73127
Phone: (949) 531-1821

NPI Profile Information
Primary Taxonomy
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Substance Abuse Rehabilitation Facility
CLIA Number: 37D2318864
CLIA Cert. Type: Other - BEHAVIORAL HEALTH FAC
CLIA Exp. Date: 02-18-2027

About SOUTH COAST BEHAVIORAL HEALTHCARE

This page provides the complete NPI Profile along with additional information for South Coast Behavioral Healthcare, a provider established in Oklahoma City, Oklahoma operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1538987664 assigned on September 2024. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as South Coast Behavioral Healthcare. The authorized official of this NPI record is Kylee Briney (Executive Director)

NPI: 1538987664
Provider Legal Name: OKLAHOMA RECOVERY CENTER, LLC
Other Organization Name: SOUTH COAST BEHAVIORAL HEALTHCARE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 4825 NW 23RD ST OKLAHOMA CITY, OK 73127
Location Phone: (949) 531-1821
Mailing Address: 1590 S CONGRESS AVE PALM SPRINGS, FL 33406
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-27-2024
Last Update Date: 12-17-2024
Code Navigator

Location Map

Secondary Locations

2412 N Ann Arbor Ave
Oklahoma City, OK 73127
(949) 531-1821

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Substance Abuse Rehabilitation Facility
Taxonomy Code: 324500000X
Type: Residential Treatment Facilities
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: KYLEE BRINEY
Authorized Official Title: EXECUTIVE DIRECTOR
Authorized Official Phone: (949) 531-1821

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 37D2318864
Facility Type: Other - BEHAVIORAL HEALTH FAC
Certificate Effective Date: February 19, 2025
Certificate Expiration Date: February 18, 2027
Laboratory Director: LISA TOMSAK
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to South Coast Behavioral Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	3	8	9	8	7	6	6	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	6	8	18	8	14	6	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 8 + 8 + 1 + 4 + 6 + 1 + 2 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 4									4

The NPI number 1538987664 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 16 providers are registered at the same or nearby location.

FIDELIS ONE LLC

Assisted Living Facility

4825 NW 23RD ST
OKLAHOMA CITY, OK
ZIP 73127

About SOUTH COAST BEHAVIORAL HEALTHCARE

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Substance Abuse Rehabilitation Facility

Authorized Official

KYLEE BRINEY

CLIA Information

Reviews for SOUTH COAST BEHAVIORAL HEALTHCARE

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is OKLAHOMA RECOVERY CENTER, LLC's NPI number?

Where is the provider located?

What is the provider's specialty?