KOOL LIVING INC. (NPI# 1295129112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295129112 |
| Entity Type | Organization |
| Organization Name | KOOL LIVING INC. |
| Other Organization Name | FOOTPRINTS BEHAVIORAL HEALTH |
| Practice Address |
26421 Crown Valley Pkwy Suite 200 Mission Viejo CA 92691-8564 |
| Mailing Address |
20138 Elkwood St Winnetka CA 91306-2312 |
| Practice Telephone | 8669213778 |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2016-12-23 |
| Authorized Official Name | NICHOLAS RUSSI (VICE-PRESIDENT) |
| Authorized Official Telephone | 9514274807 |
| Authorized Official Credential | LAADC CCS |
| Is Organization Subpart | Y |
| Parent Organization Name | KOOL LIVING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Footprints Behavioral Health | 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 |
| 1134557309 | Kool Living Inc. | Substance Abuse Rehabilitation Facility | 20138 Elkwood St, Winnetka, CA 91306-2312 | 2013-10-24 |
| 1720440910 | Kool Living Inc. | Substance Abuse Rehabilitation Facility | 18960 Keswick St, Reseda, CA 91335-1723 | 2016-03-25 |
| Street Address |
26421 CROWN VALLEY PKWY SUITE 200 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-8564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528136702 | Om P Chaurasia | Internal Medicine | 26421 Crown Valley Pkwy, Suite 140a, Mission Viejo, CA 92691-8564 | 2006-12-04 |
| 1477925618 | Kool Living, Inc. | Community/Behavioral Health | 26421 Crown Valley Pkwy, Mission Viejo, CA 92691-8564 | 2015-10-28 |
| 1932232576 | Om P. Chaurasia, Md, Inc. | Internal Medicine | 26421 Crown Valley Pkwy, Suite 140a, Mission Viejo, CA 92691-8564 | 2007-03-13 |
| 1720129893 | Pacific Gastroenterology Endoscopy Center | Clinic/Center | 26421 Crown Valley Pkwy, Suite 140b, Mission Viejo, CA 92691-8564 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881020626 | Twin Town Corporation | Clinic/Center | 27281 Las Ramblas St. Ste. 140, Mission Viejo, CA 92691 | 2013-09-25 |
| 1922145143 | County of Orange | Clinic/Center | 23228 Madero, Mission Viejo, CA 92691-2706 | 2007-01-30 |
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| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.