Provider Demographics
NPI:1477066504
Name:C & M MITCHELL HEALTHCARE GROUP LLC
Entity Type:Organization
Organization Name:C & M MITCHELL HEALTHCARE GROUP LLC
Other - Org Name:HEAVEN SENT HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-235-0358
Mailing Address - Street 1:5230 OVERRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1211
Mailing Address - Country:US
Mailing Address - Phone:817-235-0358
Mailing Address - Fax:
Practice Address - Street 1:5230 OVERRIDGE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1211
Practice Address - Country:US
Practice Address - Phone:817-235-0358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-11
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care