NPIMap

Organization Active NPI

Kool Living, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Clemente, CA
National Provider Identifier
1881072304
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300332BP Issued in CA
Legal business name
KOOL LIVING, INC.
Practice address
4014 Calle Bienvenidos
San Clemente, CA 92672-2610
Phone
(951) 427-4807
NPI assigned
May 16, 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
Substance Abuse Rehabilitation Facility 324500000X 300332BP CA Primary

Addresses

Primary practice location

4014 Calle Bienvenidos
San Clemente, CA 92672-2610

Mailing address

20138 Elkwood St
Winnetka, CA 91306-2312
Phone (951) 427-4807

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": "1431734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1881072304",
    "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",
            "telephone_number": "951-427-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 CALLE BIENVENIDOS",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722610",
            "telephone_number": "951-427-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-16",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300332BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, 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.