SPARTAN HOUSE, LLC
NPI 1679061816
Substance Abuse Rehabilitation Facility in Irvine, CA

Active since April 24, 2018

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 7, 2022, Mar 2, 2021, Apr 24, 2018 (3 updates tracked since 2018).

  • Organization
  • Substance Abuse Rehabilitation Facility

About SPARTAN HOUSE, LLC

This page provides the complete NPI Profile along with additional information for Spartan House, Llc, a provider established in Irvine, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1679061816 assigned on April 2018. The practitioner's primary taxonomy code is 324500000X with license number 300313FP (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Spartan House, Llc. The authorized official of this NPI record is Kylee Briney (Executive Director)

NPI
1679061816 Verify this NPI
Provider Legal Name
SOUTH COAST BEHAVIORAL HEALTH
Other Organization Name
SPARTAN HOUSE, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
51 CAPE COD IRVINE, CA 92620
Location Phone
(949) 308-7600
Mailing Address
2220 UNIVERSITY DR NEWPORT BEACH, CA 92660
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2018
Last Update Date
06-14-2022
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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
License No.
300313FP
License State
CA
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

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679061816, enumerated as an "organization" on April 24, 2018.

The provider is located at 51 CAPE COD IRVINE, CA 92620 and the phone number is (949) 308-7600.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.