Healthcare Provider Details

I. General information

NPI: 1982534905
Provider Name (Legal Business Name): MITTEN CARE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 E BIG BEAVER RD STE 211
TROY MI
48083-1420
US

IV. Provider business mailing address

631 E BIG BEAVER RD STE 211
TROY MI
48083-1420
US

V. Phone/Fax

Practice location:
  • Phone: 734-507-4923
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: KAYLEE MUNDIE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 734-209-5788