Provider Demographics
NPI:1689392276
Name:ROCOCO HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ROCOCO HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BELKIS
Authorized Official - Middle Name:TCHAKOTHE
Authorized Official - Last Name:BESONG
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:913-544-4096
Mailing Address - Street 1:11518 S PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6434
Mailing Address - Country:US
Mailing Address - Phone:913-544-4096
Mailing Address - Fax:
Practice Address - Street 1:741 N NELSON RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-2978
Practice Address - Country:US
Practice Address - Phone:913-544-4096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home