Healthcare Provider Details

I. General information

NPI: 1699481838
Provider Name (Legal Business Name): CARELINE CMI100 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 03/30/2025
Certification Date: 03/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ROSEHILL RD STE B
JACKSON MI
49202-1762
US

IV. Provider business mailing address

801 ROSEHILL RD STE B
JACKSON MI
49202-1762
US

V. Phone/Fax

Practice location:
  • Phone: 517-212-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH MEAD
Title or Position: CEO
Credential:
Phone: 616-729-3129