Kool Ridez LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

1356792998 Issued in ID

Legal business name

KOOL RIDEZ LLC

Practice address

1803 Ellis Ave.
Caldwell, ID 83605

Phone

(208) 880-9981

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

David Oconnor

Title

Manager

Phone

(208) 880-9981

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kool Ridez LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Koolridez L.L.C.

  • Taxi
  • Caldwell, ID
  • NPI 1356792998
  NPD tax ID

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1871044883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 ELLIS AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054810",
            "telephone_number": "208-880-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 ELLIS AVE.",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83605",
            "telephone_number": "208-880-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL RIDEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-880-9981"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "1356792998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356792998",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin King, D.C.
• Kirby Clendenon DDS
• Rikki Koberlein, RN
• Steven J Koga, M.D.
• Lisa R Koltes, MD
• Koolridez L.L.C.
• Stephanie Koopman, LMSW
• Jaret Koudelka, PHARM. D.
• Leanne M Kovick, CFM
• KSS Dental Group PLLC

• Case Management Agency in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Case Management Agency in Idaho

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