Organization Active NPI

Careline Hin100 LLC

  • Community Based Hospice Care Agency
  • Carmel, IN
National Provider Identifier
1124780465
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARELINE HIN100 LLC
Practice address
600 E Carmel Dr Ste 144
Carmel, IN 46032-3053
Phone
(517) 212-9000
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Joseph Donald Mead, JD, MBA
Title
Ceo
Phone
(517) 212-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

600 E Carmel Dr Ste 144
Carmel, IN 46032-3053

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-9000

Other names 1

  • Optimal Care Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220330003089 IN Part A Provider - Hospice 0840686853 Practice locations: Carmel, IN

Hospice certification: CCN 151647

Legal name
CARELINE HIN100 LLC
Doing business as
OPTIMAL CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 30, 2022
Last certification
Jun 30, 2022
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Aug 18, 2021 in IN
Enrollment address
600 E Carmel Dr
Ste 144
Carmel, IN 46032-3053

Care Compare: Hospice

Medicare Care Compare
Listed as
Optimal Care HospiceCCN 151647
Ownership
For-Profit
Certified
Jun 30, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lakshumanan Sundaram Individual Corporate OfficerCfo Sep 4, 2024
Joseph Donald Mead Individual Corporate OfficerChief Executive Officer Aug 18, 2021
Operational/Managerial ControlChief Executive Officer Aug 18, 2021
Erik J Wilson Individual Corporate OfficerPresident Jul 1, 2025
Denise Boas Individual W-2 Managing EmployeeAd; Aug 25, 2025
William L Deary Individual 5% Or Greater Indirect Ownership Interest Sep 4, 2024 14.58%
Caring Health Equity Holding, LLC Organization, Jackson, MI LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 4, 2024 17.95%
Careline Holdco, LLC Organization, Jackson, MI LLC, Management services company, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 11, 2024 82.05%
Operational/Managerial Control Aug 18, 2021
Expect Exceptional, LLC Organization, Jackson, MI LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 11, 2024 100%
Ellen Kaehr Individual Contracted Managing EmployeeMD; Jan 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1124780465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CARMEL DR STE 144",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323053",
            "telephone_number": "517-212-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINE HIN100 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-212-9000",
        "authorized_official_credential": "JD, MBA"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.