BLUE COAST BEHAVIORAL HEALTH, INC.
NPI 1548851652
Substance Abuse Rehabilitation Facility in Newport Beach, CA

Active since February 01, 2021CLIA 05D2285535 · Waiver
4029 WESTERLY PL STE 101, NEWPORT BEACH, CA 92660(714) 875-5479(714) 591-0933 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2023, Feb 4, 2021 (2 updates tracked since 2021).

About Blue Coast Behavioral Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE COAST BEHAVIORAL HEALTH, INC. (NPI 1548851652) is a healthcare organization registered as a substance abuse rehabilitation facility in Newport Beach, California and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists May Abdelnaby, Owner, as its authorized official.

NPPES Registry Identity

NPI1548851652
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIBERTY HOUSING SERVICES INC.
Location Address4029 WESTERLY PL STE 101Newport Beach, CA 92660-2329
Mailing Address17602 17th St # 102-123Tustin, CA 92780-1961 · (714) 463-6572 · Fax (714) 591-0933
Fax(714) 591-0933
Organization SubpartYes
Authorized OfficialMay AbdelnabyOwner · (714) 875-5479
Enumeration DateFebruary 1, 2021
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1548851652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
4029 WESTERLY PL STE 101, Newport Beach, CA 92660

Other Names 1

Doing Business AsBlue Coast Behavioral Health, Inc.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2285535

Liberty Housing Services Inc Dba Blue Coast Behavorial Health · Newport Beach, CA
Active · expires Jul 12, 2027
CLIA Number05D2285535
Laboratory TypeBehavorial Health Facilit
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorSanjai M. Thankachen
Laboratory Phone(714) 492-4937
Laboratory LocationLiberty Housing Services Inc Dba Blue Coast Behavorial Health4029 Westerly Pl Ste 101, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
4029 WESTERLY PL STE 101
NEWPORT BEACH, CA 92660
Chiropractor
4029 WESTERLY PL STE 101
NEWPORT BEACH, CA 92660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Housing Services Inc.'s NPI number?

The NPI number for Liberty Housing Services Inc. is 1548851652. It was assigned to this organization in the NPPES registry on February 1, 2021. The provider is doing business as Blue Coast Behavioral Health, Inc..

Where is Liberty Housing Services Inc. located?

Liberty Housing Services Inc. is located at 4029 Westerly Pl Ste 101, Newport Beach, CA 92660. The listed phone number is (714) 875-5479.

What is Liberty Housing Services Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Liberty Housing Services Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2285535) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Housing Services Inc. was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.