NPIMap

Organization Active NPI

Kool Living Inc.

  • Substance Abuse Rehabilitation Facility
  • Winnetka, CA
National Provider Identifier
1134557309
Registry record updated Dec 23, 2016
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Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190778AP Issued in CA
Legal business name
KOOL LIVING INC.
Practice address
20138 Elkwood St
Winnetka, CA 91306-2312
Phone
(323) 870-7777
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Authorized official

Name
Mr. Nicholas Russi, LAADC CCS
Title
Vice-President
Phone
(951) 427-4807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190778AP CA Primary

Addresses

Primary practice location

20138 Elkwood St
Winnetka, CA 91306-2312

Mailing address

20138 Elkwood St
Winnetka, CA 91306-2312

Other names 1

  • Kool Living Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kool Living Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482451200000",
    "number": "1134557309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20138 ELKWOOD ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20138 ELKWOOD ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062312",
            "telephone_number": "323-870-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2016-12-23",
        "status": "A",
        "authorized_official_last_name": "RUSSI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "951-427-4807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAADC CCS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190778AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kool Living Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.