Cooling Waters

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COOLING WATERS

Practice address

2320 Blue Smoke CT N
Fort Worth, TX 76105-1003

Phone

(817) 534-5480

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Doris Benjamin

Title

Ceo

Phone

(817) 534-5480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1447689286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BLUE SMOKE CT N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BLUE SMOKE CT N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051003",
            "telephone_number": "817-534-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLING WATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-534-5480"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Cooke
• Candace Cooks, LCSW
• Kristal Marie Cooks, LCSW
• Daniel T Cooley, DO
• Aaron Coolidge
• Cynara L Coomer, M.D.
• Casie Laine Coon, FNP
• Nancy Coon, RN
• Cooper Medical Solutions, LLC
• Cooper Shoes Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.