Organization Active NPI

Colossal Living

  • Substance Abuse Rehabilitation Facility
  • Oxon Hill, MD
National Provider Identifier
1083565220
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COLOSSAL LIVING
Practice address
5103 Woodland Blvd
Oxon Hill, MD 20745-3751
Phone
(202) 847-8630
NPI assigned
Feb 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Lukisha Mitchell
Title
Director
Phone
(202) 607-7891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5103 Woodland Blvd
Oxon Hill, MD 20745-3751

Mailing address

2105 Belfast Dr
Fort Washington, MD 20744-3207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1083565220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BELFAST DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 WOODLAND BLVD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453751",
            "telephone_number": "202-847-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOSSAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LUKISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-607-7891"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.