MEDICARE: MRS. SHELLIE MITCHELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1578115101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELLIE MITCHELL

Provider Business Mailing Address
First Line	:	18128 SAN JUAN DR
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-2663
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18128 SAN JUAN DR
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48221-2663
Country	:	US
Telephone Number	:	313-258-0640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2019
Last Update Date	:	07/13/2019

Similar Medicare Providers

1679429757 — SHALOM INTERNATIONAL
Practice Location Address:

5572 AUDUBON RD
DETROIT, MI
48224-2663

Practice Phone: 313-399-1967
Practice Fax:

1558217885 — SOYINA MALIK BAZEMORE
Practice Location Address:

11000 W MCNICHOLS RD STE 323-1056
DETROIT, MI
48221-2357

Practice Phone: 586-569-9147
Practice Fax:

1932055084 — TRACEY A BECKEM
Practice Location Address:

16206 MONICA ST
DETROIT, MI
48221-2989

Practice Phone: 313-844-0213
Practice Fax:

1932818994 — KREISA MARQUITA CHATMAN
Practice Location Address:

18501 GRIGGS ST
DETROIT, MI
48221-1935

Practice Phone: 313-742-7666
Practice Fax:

1063362853 — KATRINA IVORY PMHNP-BC
Practice Location Address:

11000 W MCNICHOLS RD STE 3231029
DETROIT, MI
48221-2357

Practice Phone: 313-649-5188
Practice Fax:

1194384453 — DARLENE PRINCESS WASHINGTON PMHNP-BC
Practice Location Address:

11000 W MCNICHOLS RD STE 3231029
DETROIT, MI
48221-2357

Practice Phone: 313-338-8827
Practice Fax:

Directions to “ MRS. SHELLIE MITCHELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.