Organization Active NPI

Mitchum & Williams Tender Hearts Group

  • Community/Behavioral Health Agency
  • Arlington, TX
National Provider Identifier
1629530423
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MITCHUM & WILLIAMS TENDER HEARTS GROUP
Practice address
2111 N Cooper St
Arlington, TX 76011-3229
Phone
(214) 729-0836
Fax
(682) 706-3314
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Sandra C MitchumNPI 1801266051
Title
Program Manager
Phone
(214) 729-0836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

2111 N Cooper St
Arlington, TX 76011-3229

Mailing address

2111 N Cooper St
Arlington, TX 76011-3229
Phone (214) 729-0836

Other names 1

  • Mitchum & Williams Tender Hearts Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1629530423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113229",
            "telephone_number": "214-729-0836",
            "fax_number": "682-706-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113229",
            "telephone_number": "214-729-0836",
            "fax_number": "682-706-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHUM & WILLIAMS TENDER HEARTS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "MITCHUM",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "214-729-0836",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchum & Williams Tender Hearts Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mitchum & Williams Tender Hearts Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.