NPIMap

Organization Active NPI

Kool Living, Inc.

  • Community/Behavioral Health Agency
  • Mission Viejo, CA
National Provider Identifier
1477925618
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
300332DP Issued in CA
Legal business name
KOOL LIVING, INC.
Practice address
26421 Crown Valley Pkwy
Mission Viejo, CA 92691-8564
Phone
(951) 427-4807
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Nicholas Russi
Title
Ceo
Phone
(951) 427-4807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 300332DP CA Primary

Addresses

Primary practice location

26421 Crown Valley Pkwy
Mission Viejo, CA 92691-8564

Mailing address

20138 Elkwood St
Winnetka, CA 91306-2312

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.

Locations

26421 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (951) 427-4807

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1477925618",
    "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": "26421 CROWN VALLEY PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918564",
            "telephone_number": "951-427-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "RUSSI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-427-4807"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "300332DP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.