NPIMap

Organization Active NPI

Kool Living Inc.

  • Substance Abuse Rehabilitation Facility
  • Reseda, CA
National Provider Identifier
1720440910
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300332AP Issued in CA
Legal business name
KOOL LIVING INC.
Practice address
18960 Keswick St
Reseda, CA 91335-1723
Phone
(323) 870-7777
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Varoujan Khacheryan
Title
President
Phone
(323) 870-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300332AP CA Primary

Addresses

Primary practice location

18960 Keswick St
Reseda, CA 91335-1723

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.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1720440910",
    "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": "18960 KESWICK ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351723",
            "telephone_number": "323-870-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "KHACHERYAN",
        "authorized_official_first_name": "VAROUJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-870-7777"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300332AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.