NPIMap

Organization Active NPI

Careline Poh100 LLC

Doing business as Careline Physician Services

  • Geriatric Medicine (Family Medicine) Physician
  • Maumee, OH
National Provider Identifier
1306414826
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
CARELINE POH100 LLC
Doing business as
Careline Physician Services
Optimal Care Physician Services
Practice address
3550 Briarfield Blvd Ste 300
Maumee, OH 43537-8916
Phone
(517) 212-9000
NPI assigned
Jun 11, 2021
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Mr. Joseph Donald Mead, JD, MBA
Title
Owner
Phone
(517) 888-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary

Addresses

Primary practice location

3550 Briarfield Blvd Ste 300
Maumee, OH 43537-8916

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

Other names 2

  • Careline Physician Services Doing business as
  • Optimal Care Physician Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.carelinehealthgroup.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220604000359 OH Part B Supplier - Clinic/Group Practice 7012395965 Receives reassigned benefits from 16 practitioners
Practice locations: Maumee, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2274744Careline Poh100 LLC3550 Briarfield Blvd, Maumee, OH 43537Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1306414826",
    "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": "517-212-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 BRIARFIELD BLVD STE 300",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435378916",
            "telephone_number": "517-212-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINE POH100 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-888-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD, MBA"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.carelinehealthgroup.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3550 Briarfield Blvd Ste 300",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435379184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Careline Physician Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Careline Physician Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Care Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.