Provider Demographics
NPI:1750053880
Name:CARELINE HOH100 LLC
Entity type:Organization
Organization Name:CARELINE HOH100 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MBA
Authorized Official - Phone:517-212-9000
Mailing Address - Street 1:103 S JACKSON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-2211
Mailing Address - Country:US
Mailing Address - Phone:517-212-9000
Mailing Address - Fax:
Practice Address - Street 1:3550 BRIARFIELD BLVD STE 300
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-9184
Practice Address - Country:US
Practice Address - Phone:419-452-2102
Practice Address - Fax:517-212-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based