CARELINE PALLIATIVE CARE LLC (NPI# 1801367073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801367073 |
| Entity Type | Organization |
| Organization Name | CARELINE PALLIATIVE CARE LLC |
| Practice Address |
113 W Michigan Ave Ste 102 Jackson MI 49201-1340 |
| Practice Telephone | 5172122008 |
| Practice Fax Number | 5172122009 |
| Mailing Telephone | 5172122008 |
| Mailing Fax Number | 5172122009 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | JOSEPH DONALD MEAD (PRACTICE MANAGER) |
| Authorized Official Telephone | 5172122008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| 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 |
| 1740753326 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2019-01-07 |
| 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 | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689952962 | Superior Transitional Care Pllc | Internal Medicine | 900 Cooper St, Jackson, MI 49202-3398 | 2011-08-03 |
| 1528242724 | John Keith Mansel | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2007-12-24 |
| 1720067283 | Edward D Koonce | Internal Medicine | 620 Skyline Dr, Jackson, TN 38301-3923 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912592 | Hospice Advantage, LLC | Internal Medicine | 801 S Waverly Rd Ste 200, Lansing, MI 48917-4200 | 2020-11-02 |
| 1518573054 | Thi of Michigan At Detroit, LLC | Internal Medicine | 30665 Northwestern Hwy Ste 150, Farmington Hills, MI 48334-3146 | 2020-09-21 |
| 1639496466 | Palliative Care Medical Associates | Internal Medicine | 430 Union Ave Ne Apt 209, Grand Rapids, MI 49503-5747 | 2010-05-04 |
| 1578771770 | Helen Scoblic | Internal Medicine | 1426 Straits Dr, Bay City, MI 48706-8705 | 2007-05-19 |
| 1255439915 | Saeed I Bajwa | Internal Medicine | 5301 Mcauley Dr Ste 2119, Ypsilanti, MI 48197-1051 | 2006-09-20 |
| 1831186311 | Hospice At Home, Inc. | Internal Medicine | 4025 Health Park Lane, Saint Joseph, MI 49085 | 2005-09-30 |
| 1144878745 | Ascension St. Mary's Hospital | Internal Medicine | 4599 Towne Centre Rd, Saginaw, MI 48604-2804 | 2019-08-28 |
| 1033638077 | Northstar Palliative Care Inc | Internal Medicine | 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 | 2017-09-11 |
| 1457890618 | Tamber Townsend | Internal Medicine | 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 | 2017-02-20 |
| 1568900512 | Iha Health Services Corporation | Internal Medicine | 5301 Mcauley Dr, Suite 2199, Ypsilanti, MI 48197-1051 | 2017-02-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARELINE PALLIATIVE CARE LLC.
| 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.