MITA COOKE HEALTH SERVICES INC
NPI 1184447260
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Upper Marlboro, MD

Active since November 06, 2024
1709 REBECCA CT, UPPER MARLBORO, MD 20774(301) 768-9607 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About MITA COOKE HEALTH SERVICES INC

This page provides the complete NPI Profile along with additional information for Mita Cooke Health Services Inc, a provider established in Upper Marlboro, Maryland operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1184447260 assigned on November 2024. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Bosun Oloko (Ceo)

NPI
1184447260 Verify this NPI
Provider Name
MITA COOKE HEALTH SERVICES INC
Entity Type
Organization
Location Address
1709 REBECCA CT UPPER MARLBORO, MD 20774
Location Phone
(301) 768-9607
Mailing Address
1709 REBECCA CT UPPER MARLBORO, MD 20774
Mailing Phone
(301) 768-9607
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2024
Last Update Date
11-06-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BOSUN OLOKO

Authorized Official Title
CEO
Authorized Official Phone
(301) 768-9607

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184447260, enumerated as an "organization" on November 06, 2024.

The provider is located at 1709 REBECCA CT UPPER MARLBORO, MD 20774 and the phone number is (301) 768-9607.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.