Healthcare Provider Details

I. General information

NPI: 1801367073
Provider Name (Legal Business Name): CARELINE PALLIATIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 07/13/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ROSEHILL RD
JACKSON MI
49202-1762
US

IV. Provider business mailing address

801 ROSEHILL RD
JACKSON MI
49202-1762
US

V. Phone/Fax

Practice location:
  • Phone: 517-212-2008
  • Fax: 517-212-2009
Mailing address:
  • Phone: 517-212-2008
  • Fax: 517-212-2009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH MEAD
Title or Position: PRACTICE MANAGER
Credential:
Phone: 517-212-2008