Provider Demographics
NPI:1922351857
Name:COSMO HEALTHCARE
Entity Type:Organization
Organization Name:COSMO HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FATMATA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-906-7900
Mailing Address - Street 1:1705 JANUARY DR
Mailing Address - Street 2:102
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6917
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1705 JANUARY DR
Practice Address - Street 2:102
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6917
Practice Address - Country:US
Practice Address - Phone:301-906-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health