Provider Demographics
NPI:1992119192
Name:MITCHELL'S QUALITY HOME CARE
Entity type:Organization
Organization Name:MITCHELL'S QUALITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-543-1465
Mailing Address - Street 1:4065 SUFFOLK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2328
Mailing Address - Country:US
Mailing Address - Phone:216-543-1465
Mailing Address - Fax:
Practice Address - Street 1:4065 SUFFOLK RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-2328
Practice Address - Country:US
Practice Address - Phone:216-543-1465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health