Mighty Men of Valor Limited Liability Company

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MIGHTY MEN OF VALOR LIMITED LIABILITY COMPANY

Practice address

434 Ashlawn Dr
Midlothian, TX 76065-5612

Phone

(817) 609-5474

Fax

(469) 672-6069

NPI assigned

Jun 11, 2020

Organization subpart

Yes

Parent organization

MIGHTY MEN OF VALOR LIMITED LIABILITY COMPANYAs reported in NPPES

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

Authorized official

Name

Mr. Jackie Glen JohnsonNPI 1871130112

Title

Owner

Phone

(817) 609-5474

Specialties & licenses 1

Addresses

Part of

Mighty Men of Valor Limited Liability Company

Practitioners 1

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

• Jackie Glen Johnson

  • Case Management Agency
  • Midlothian, TX
  • NPI 1871130112
  NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1730704164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 ASHLAWN DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655612",
            "telephone_number": "817-609-5474",
            "fax_number": "469-672-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 ASHLAWN DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655612",
            "telephone_number": "817-609-5474",
            "fax_number": "469-672-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY MEN OF VALOR LIMITED LIABILITY COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIGHTY MEN OF VALOR LIMITED LIABILITY COMPANY",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-609-5474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midlothian Isd
• Midlothian Medical & Sports Center, PLLC
• Midlothian Pharmacy Compounding & Prescription LLC
• Midlothian Vision Associates, PLLC
• Midtown 2013 Re, LLC
• Meredith Kate Milke, RD, LD
• Courtney Lyn Millea, OTR/L
• Ashlea Poirot Miller, PT, DPT
• Fred John Miller
• Hank K. Miller, D.C.

• Case Management Agency in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.