Mita Cooke Health Services Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MITA COOKE HEALTH SERVICES INC

Practice address

1709 Rebecca CT
Upper Marlboro, MD 20774-5621

Phone

(301) 768-9607

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Bosun Oloko

Title

Ceo

Phone

(301) 768-9607

Specialties & licenses 1

Addresses

Other names 1

• MiTA Cooke Healthcare Services Doing business as

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1184447260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 REBECCA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745621",
            "telephone_number": "301-768-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 REBECCA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745621",
            "telephone_number": "301-768-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITA COOKE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "OLOKO",
        "authorized_official_first_name": "BOSUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-768-9607"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiTA Cooke Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.