EMMANUEL DOUGLAS MITCHELL JR.


Address: 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871
Phone: 2164178813

EMMANUEL DOUGLAS MITCHELL JR. (NPI# 1275163982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275163982
Entity Type Individual
Full Name EMMANUEL DOUGLAS MITCHELL JR.
Practice Address 11201 Shaker Blvd Ste 308
Cleveland
OH 44104-3871
Practice Telephone 2164178813
Mailing Telephone 2164178813
Enumeration Date 2020-01-22
Last Update Date 2020-01-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 11201 SHAKER BLVD STE 308
City CLEVELAND
State OH
Zip Code 44104-3871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922647908 Jocelyn Boyd Social Worker 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2019-12-23
1548877913 Mercedes Serrano Case Manager/Care Coordinator 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2020-09-29
1902422777 Antoine Lee Johnson Case Manager/Care Coordinator 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2020-06-17
1710503594 Khadijah Shabazz Case Manager/Care Coordinator 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2020-06-17
1326668070 Alfredia Mcguire Case Manager/Care Coordinator 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2020-04-23
1003436874 Gregory Hart Case Manager/Care Coordinator 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2020-04-22
1104446277 Alicia Danielle Cody Community Health Worker 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2020-04-19
1538798723 Aryana B Jackson Case Manager/Care Coordinator 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2020-04-08
1588298947 Angela Benson Case Manager/Care Coordinator 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2020-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619510419 Gwen Burtin Technician 9908 Kennedy Ave, Cleveland, OH 44104 2019-10-24
1215422001 Julia Shneyderman Dentist 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 2018-06-25
1477058527 Kwananda A Plato Technician 9717 Elwell Ave., Cleveland, OH 44104 2018-03-29
1073035887 Tia Marie Heard Home Health 4591 Quincy Avenue Building Q, Cleveland, OH 44104 2017-07-13
1407306608 Shelby Mcquiller Social Worker 2632 E 115th St, Cleveland, OH 44104 2016-10-11
1568852390 Cleveland Arts & Social Sciences Academy Psychologist 10701 Shaker Blvd, Cleveland, OH 44104 2015-02-02
1164827705 Eboni Danyale Jordan Licensed Practical Nurse 3143 East 99th, Cleveland, OH 44104 2014-10-24
1902224157 Woodland Academy, Inc. Local Education Agency (LEA) 10615 Lamontier Blvd., Cleveland, OH 44104 2014-04-04
1467793778 Teresa M Evans-guyton Nurse Practitioner 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 2013-03-12
1023387057 Roslyn Jeanette Carter Home Health Aide 9423 Ramona Blvd, Cleveland, OH 44104 2011-12-20
Find all providers in zip 44104

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922606755 Kathy Ann Miller Case Manager/Care Coordinator 296 Colony Ln Nw, Cleveland, TN 37312-6411 2020-10-14
1437766243 Marie L Clay Case Manager/Care Coordinator 8200 Rosewood Ave # Up, Cleveland, OH 44105-6683 2020-09-25
1073123311 King Malone IIi Case Manager/Care Coordinator 1193 E 172nd St, Cleveland, OH 44119-3153 2020-08-02
1750990727 Reginald Bagley I Case Manager/Care Coordinator 2728 Euclid Ave Ste 4004th, Cleveland, OH 44115-2429 2020-07-27
1497364681 James Gordon Case Manager/Care Coordinator 896 E 73rd St, Cleveland, OH 44103-1792 2020-07-24
1558988204 Jamil Brooks Case Manager/Care Coordinator 23612 Mccann St, Cleveland, OH 44128-5250 2020-06-29
1629692801 Theodore Williams Iv Case Manager/Care Coordinator 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 2020-06-03
1629690920 Vincent Van Johnson Case Manager/Care Coordinator 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 2020-05-11
1932728508 Janayia Thompson Case Manager/Care Coordinator 12395 Mccracken Rd # A-up, Cleveland, OH 44125-2967 2020-04-13
1942836309 Shirley Tucker Case Manager/Care Coordinator 2728 Euclid Ave, Cleveland, OH 44115-2429 2020-03-18
Find all providers in CLEVELAND

Competitor

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City CLEVELAND
Zip Code 44104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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