CARELINK OF JACKSON, A COMMUNITY-OWNED SPECIALTY HOSPITAL (NPI# 1073588034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073588034 |
Entity Type | Organization |
Organization Name | CARELINK OF JACKSON, A COMMUNITY-OWNED SPECIALTY HOSPITAL |
Other Organization Name | HENRY FORD ALLEGIANCE CARELINK |
Practice Address |
110 N. Elm Avenue Jackson MI 49202-3595 |
Practice Telephone | 5177964475 |
Practice Fax Number | 5177875226 |
Mailing Telephone | 5177964475 |
Mailing Fax Number | 5177875226 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2019-08-01 |
Authorized Official Name | MS. MARK SMITH (SVP - CMO, CEO - HFAMG) |
Authorized Official Telephone | 5172056407 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282N00000X | General Acute Care Hospital | Hospitals | ||
Y | 282E00000X | Long Term Care Hospital | 380051 | MI | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1556625 | 05 | |
MI | BLUE CROSS | 17008 | 01 |
MI | PHYSICIANS HEALTH PLAN | 7188892 | 01 |
Other Name | Type Code |
---|---|
Henry Ford Allegiance CareLink | Doing Business As Name - Organization |
Herny Ford Allegiance Specialty Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053781625 | Carelink of Jackson, A Community-owned Specialty Hospital | Nurse Practitioner | 110 N Elm Ave, Jackson, MI 49202-3571 | 2015-09-25 |
Street Address |
110 N. ELM AVENUE |
City | JACKSON |
State | MI |
Zip Code | 49202-3595 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
Find all providers in zip 49202 |
Taxonomy Code | 282E00000X |
Grouping | Hospitals |
Classification | Long Term Care Hospital |
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
Notes: Source: American Hospital Association [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639228174 | Villa Feliciana Medical Complex | Long Term Care Hospital | 5002 Hwy 10, Jackson, LA 70748 | 2007-01-10 |
1255330163 | Select Specialty Hospital - Jackson Inc | Long Term Care Hospital | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2005-07-21 |
1619326014 | Select Specialty Hospital - Belhaven, LLC | Long Term Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2016-06-07 |
1407886146 | Mississippi Hospital for Restorative Care, Inc. | Long Term Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2006-07-04 |
1851357925 | Regency Hospital of Jackson, LLC | Long Term Care Hospital | 969 Lakeland Dr, 6th Floor, Jackson, MS 39216-4606 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972032209 | Special Care Hospital, LLC | Long Term Care Hospital | 1840 Wealthy St Se Fl 5, Grand Rapids, MI 49506-2921 | 2017-06-09 |
1508027624 | Vibra of Southeastern Michigan LLC | Long Term Care Hospital | 26400 West Outer Dr, Lincoln Park, MI 48146-2088 | 2008-06-20 |
1962512863 | Mclaren Bay Special Care | Long Term Care Hospital | 3250 E Midland Rd Ste 1, Bay City, MI 48706-2835 | 2006-08-30 |
1801872379 | Scci Hospitals of America Inc. | Long Term Care Hospital | 4777 East Outer Drive, Detroit, MI 48234-3241 | 2005-12-16 |
1245230671 | Great Lakes Specialty Hosptial - Hackley LLC | Long Term Care Hospital | 1700 Clinton St, 2 South, 2nd and 3rd Floors, Muskegon, MI 49442-5502 | 2005-07-28 |
1205836806 | Select Specialty Hospital - Northwest Detroit Inc | Long Term Care Hospital | 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 | 2005-07-26 |
1912907635 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 215 North Ave, Mount Clemens, MI 48043-1716 | 2005-07-22 |
1912906934 | Select Specialty Hospital - Flint Inc | Long Term Care Hospital | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2005-07-20 |
1225034895 | Select Specialty Hospital - Battle Creek Inc | Long Term Care Hospital | 300 North Ave, Fl 6, Battle Creek, MI 49017-3307 | 2005-06-28 |
1427564855 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 | 2017-12-21 |
Find all providers with the same taxonomy |
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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.