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General NPI Number Information
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NPI Number | 1710551965
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Entity Type | Organization
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Legal Business Name | CARELINE HMI200 LLC
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 4760 FASHION SQUARE BLVD
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City | SAGINAW
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State | MI
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Zip | 48604-2620
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Country | US
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Telephone | 517-212-9000
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Fax | 517-212-2007
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Provider Business Mailing Address
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Address Line | 801 ROSEHILL RD
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City | JACKSON
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State | MI
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Zip | 49202-1762
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Country | US
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Telephone | 517-212-9000
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Fax | 517-212-2007
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH MEAD
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Credential |
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Telephone | 517-212-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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