Mitchell's Care Center LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

MITCHELL'S CARE CENTER LLC

Doing business as

Golden Estate Residential Care

Practice address

1134 W Norton Rd
Springfield, MO 65803-1070

Phone

(417) 766-9674

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Martha Jo Mitchell

Title

Administrator

Phone

(417) 766-9674

Specialties & licenses 1

Addresses

Other names 1

• Golden Estate Residential Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1063010890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 W NORTON RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031070",
            "telephone_number": "417-766-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 W NORTON RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031070",
            "telephone_number": "417-766-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL'S CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-766-9674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Estate Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurae N. Mitchell, PA
• Mariah Mitchell
• Royal Wade Mitchell, DDS
• Shelley Jenee Mitchell, CNM
• Stephanie Mitchell, LPN
• Tara Marie Mitchem, PT, DPT
• Sarah Elizabeth Mittelstadt, COTA/L
• Myron W. Mizell, MD
• Amanda Lea Mizer, BCBA
• Mikayla Mizer

• Assisted Living Facility (Mental Illness) in Springfield, MO
• Providers in Springfield, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.