Provider Demographics
NPI:1659451680
Name:TMJ GROUP, LLC
Entity Type:Organization
Organization Name:TMJ GROUP, LLC
Other - Org Name:ELITE HEALTH AND HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:216-297-9941
Mailing Address - Street 1:1414 S GREEN RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3976
Mailing Address - Country:US
Mailing Address - Phone:216-297-9941
Mailing Address - Fax:216-297-9945
Practice Address - Street 1:1414 S GREEN RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-3976
Practice Address - Country:US
Practice Address - Phone:216-297-9941
Practice Address - Fax:216-297-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health