KOOL LIVING INC. (NPI# 1134557309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134557309 |
| Entity Type | Organization |
| Organization Name | KOOL LIVING INC. |
| Other Organization Name | KOOL LIVING RECOVERY CENTER |
| Practice Address |
20138 Elkwood St Winnetka CA 91306-2312 |
| Practice Telephone | 3238707777 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2016-12-23 |
| Authorized Official Name | MR. NICHOLAS RUSSI (VICE-PRESIDENT) |
| Authorized Official Telephone | 9514274807 |
| Authorized Official Credential | LAADC CCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190778AP | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Kool Living Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851760938 | Kool Living Inc. | Substance Abuse Rehabilitation Facility | 449 Avenida Crespi, San Clemente, CA 92672-3331 | 2015-09-18 |
| 1720440910 | Kool Living Inc. | Substance Abuse Rehabilitation Facility | 18960 Keswick St, Reseda, CA 91335-1723 | 2016-03-25 |
| 1295129112 | Kool Living Inc. | Clinic/Center | 26421 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-8564 | 2015-03-28 |
| Street Address |
20138 ELKWOOD ST |
| City | WINNETKA |
| State | CA |
| Zip Code | 91306-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
| 1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
| 1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
| 1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
| 1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
| 1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
| 1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
| 1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
| 1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
| 1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
| Find all providers in zip 91306 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558724195 | Kool Living, Inc. | Substance Abuse Rehabilitation Facility | 7735 Winnetka Ave, Winnetka, CA 91306-2605 | 2016-03-31 |
| 1982074910 | Sober College Environments, LLC | Substance Abuse Rehabilitation Facility | 8546 Keokuk Ave, Winnetka, CA 91306-1125 | 2015-10-02 |
| 1679961031 | Progress In Motion, Inc | Substance Abuse Rehabilitation Facility | 8035 Oakdale Ave, Winnetka, CA 91306-1932 | 2015-01-07 |
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| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.