Cool Waters, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

06310501 Issued in PA

Legal business name

COOL WATERS, LLC

Practice address

4601 Locust LN Ste 305
Harrisburg, PA 17109-4446

Phone

(717) 545-2920

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Ester Mbaya

Title

Director of Operaations and Finance

Phone

(858) 245-8327

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1003247925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LOCUST LN STE 305",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094446",
            "telephone_number": "717-545-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LOCUST LN STE 305",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094446",
            "telephone_number": "717-545-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL WATERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "MBAYA",
        "authorized_official_first_name": "ESTER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERAATIONS AND FINANCE",
        "authorized_official_telephone_number": "858-245-8327"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "06310501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102887053",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edith L Cook
• Harry Cook, MS
• Lanelle Louise Cook, CRNP
• Laura Cook, LSW
• Leigh Anne Cook, PT
• Yazmine Cooley
• Coolwaters Foundation
• Christian Michael Cooney
• Melissa S Cooney, LSW
• Deborah Cooper

• Home Health Agency in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.