Provider Demographics
| NPI: | 1780562629 |
|---|---|
| Name: | COKOS CLOSET OF LOVE |
| Entity type: | Organization |
| Organization Name: | COKOS CLOSET OF LOVE |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JEKORA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ROBINSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 310-678-5332 |
| Mailing Address - Street 1: | 44620 VALLEY CENTRAL WAY UNIT 1218 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LANCASTER |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 93536-6533 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 310-946-3531 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 44460 15TH ST E APT 1 |
| Practice Address - Street 2: | |
| Practice Address - City: | LANCASTER |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 93535-3487 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 310-946-3521 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-08-26 |
| Last Update Date: | 2025-08-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251B00000X | Agencies | Case Management | |
| No | 251K00000X | Agencies | Public Health or Welfare | |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 251V00000X | Agencies | Voluntary or Charitable | |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
| No | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
| No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 385H00000X | Respite Care Facility | Respite Care | |
| No | 385HR2050X | Respite Care Facility | Respite Care | Respite Care Camp |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
