NPI Information

  • NPI: 1881072304
  • Provider Name: KOOL LIVING, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 4014 CALLE BIENVENIDOS
    SAN CLEMENTE, CA
    ZIP 92672
  • Phone: (951) 427-4807

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NPI Details

KOOL LIVING, INC. is a substance abuse rehabilitation facility in San Clemente, CA. The provider is 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. KOOL LIVING, INC. NPI is 1881072304. The provider is registered as an organization entity type.

The provider's business location address is:

4014 CALLE BIENVENIDOS
SAN CLEMENTE, CA
ZIP 92672-610
Phone: (951) 427-4807

The provider's authorized official is Nicholas Russi .
The authorized official title is Ceo and has the following contact phone number (951) 427-4807.

The enumeration date for this NPI number is 5/16/2015 and was last updated on 11/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility300332BPCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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