CARELINE HEALTH GROUP - MI LLC (NPI# 1740753326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740753326 |
| Entity Type | Organization |
| Organization Name | CARELINE HEALTH GROUP - MI LLC |
| Practice Address |
113 W Michigan Ave Ste 102 Jackson MI 49201-1340 |
| Practice Telephone | 4103408036 |
| Practice Fax Number | 5177097733 |
| Mailing Telephone | 4103408036 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | JOSEPH DONALD MEAD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4103408036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Careline Health Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331128 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 | 2020-03-19 |
| Street Address |
113 W MICHIGAN AVE STE 102 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376599274 | Raymond Frank Hansen | Internal Medicine | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2006-05-25 |
| 1730719139 | Matthew Samuels Basham | Nurse Practitioner | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2020-01-24 |
| 1801367073 | Careline Palliative Care LLC | Nurse Practitioner | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2018-12-16 |
| 1679001192 | Jennifer Leigh Clark | Registered Nurse | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2017-05-28 |
| 1801131644 | Codi M. Schrauben | Nurse Practitioner | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2012-12-05 |
| 1912237934 | Elaine T Philipson | Nurse Practitioner | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331128 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 | 2020-03-19 |
| 1104357177 | Heart of Hospice, LLC | Hospice Care, Community Based | 135 Bounds St, Ste C, Jackson, MS 39206-4121 | 2017-03-22 |
| 1104211200 | Lhcg Lxvi, LLC | Hospice Care, Community Based | 308 E Pearl St, Suite 301, Jackson, MS 39201-3419 | 2015-04-06 |
| 1982945978 | At Home Hospice Care, Inc. | Hospice Care, Community Based | 5015 I 55 N, Ste A, Jackson, MS 39206-4306 | 2013-03-15 |
| 1811250269 | Allcare Hospice & Palliative Services LLC | Hospice Care, Community Based | 381 Edgewood Terrace Dr, Jackson, MS 39206-6217 | 2012-06-20 |
| 1548523186 | Hospice of Jackson - Hospice Home | Hospice Care, Community Based | 2150 Kingsbrooke Dr, Jackson, MI 49202-1300 | 2012-06-19 |
| 1003192477 | Creative Hospice Care, Inc | Hospice Care, Community Based | 791a Highway 36 E, Jackson, GA 30233-1792 | 2011-10-28 |
| 1548581499 | Perennial Hospice, Inc. | Hospice Care, Community Based | 5201 Cedar Park Dr, Suite D, Jackson, MS 39206-4140 | 2010-06-15 |
| 1881914711 | North Lion Hospice & Palliative Care, LLC | Hospice Care, Community Based | 135 Bounds Street, Suite C, Room 4, Jackson, MS 39206-4121 | 2010-06-02 |
| 1992027197 | Genesis Hospice Care, LLC | Hospice Care, Community Based | 135 Bounds St Ste C, Jackson, MS 39206-4121 | 2010-02-16 |
| Find all providers in JACKSON | ||||
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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.