Carelink of Jackson, a Community-Owned Specialty Hospital

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

CARELINK OF JACKSON, A COMMUNITY-OWNED SPECIALTY HOSPITAL

Practice address

110 N Elm Ave
Jackson, MI 49202-3571

Phone

(517) 796-4475

Fax

(517) 787-5226

NPI assigned

Sep 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Smith

Title

SVP - Cmo, Ceo - Hfamg

Phone

(517) 205-6407

Specialties & licenses 2

Addresses

Other names 2

• CareLink Hospitalist Services Doing business as
• Henry Ford Allegiance Specialty Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 232036

Legal name

HENRY FORD ALLEGIANCE SPECIALTY HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Apr 14, 2020

Provider type (POS)

Hospital – Long-term

Participating since

Mar 1, 2004

Last certification

Feb 16, 2011

Beds

64

Ownership / control type

Private (not for profit)

Facility address

110 N Elm Avenue
Jackson, MI 49202

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1053781625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N ELM AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023571",
            "telephone_number": "517-796-4475",
            "fax_number": "517-787-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ELM AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023571",
            "telephone_number": "517-796-4475",
            "fax_number": "517-787-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK OF JACKSON, A COMMUNITY-OWNED SPECIALTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SVP - CMO, CEO - HFAMG",
        "authorized_official_telephone_number": "517-205-6407"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareLink Hospitalist Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry Ford Allegiance Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carelinc Medical Equipment & Supply Co LLC
• Careline Cmi100 LLC
• Careline Health Group - Mi LLC
• Careline Health Group - Mi LLC
• Careline Palliative Care LLC
• Carelink of Jackson, a Community-Owned Specialty Hospital
• Alissa Carlisle
• Alexandra Carmichael
• Daniel A Carmona, MA
• Victoria Elysse Gregoria Carmona, MSW

• Hospitalist Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Hospitalist Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.