Healthcare Provider Details

I. General information

NPI: 1972371656
Provider Name (Legal Business Name): CARE THAT MATTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 WILDWOOD AVE
JACKSON MI
49202-1866
US

IV. Provider business mailing address

3105 WILDWOOD AVE
JACKSON MI
49202-1866
US

V. Phone/Fax

Practice location:
  • Phone: 517-358-5830
  • Fax: 517-796-3044
Mailing address:
  • Phone: 517-358-5830
  • Fax: 517-796-4033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA ANN WALLACE
Title or Position: OWNER
Credential: LPN
Phone: 517-358-5830