Organization Active NPI

Careline Cmi100 LLC

Doing business as Optimal Care Home Health

  • Home Health Agency
  • Jackson, MI
National Provider Identifier
1699481838
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARELINE CMI100 LLC
Doing business as
Optimal Care Home Health
Practice address
801 Rosehill Rd Ste B
Jackson, MI 49202-1762
Phone
(517) 212-9000
NPI assigned
Jan 30, 2023
Last updated
Mar 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Authorized official

Name
Mr. Joseph Mead
Title
Ceo
Phone
(616) 729-3129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

801 Rosehill Rd Ste B
Jackson, MI 49202-1762

Mailing address

801 Rosehill Rd Ste B
Jackson, MI 49202-1762

Other names 1

  • Optimal Care Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624004011 MI Part A Provider - Home Health Agency 1456894021 Practice locations: Jackson, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699481838. Details of each certification follow.

Home health agency certification: CCN 239367

Legal name
CARELINE CMI100 LLC
Doing business as
OPTIMAL CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 5, 2025
Last certification
Apr 30, 2025
Organization structure
LLCProprietary
Enrollment address
801 Rosehill Rd
Ste B
Jackson, MI 49202-1762

Care Compare: Home health agency

Medicare Care Compare
Listed as
Optimal Care Home HealthCCN 239367 · All quality measures
Ownership
-
Certified
May 5, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Joseph Donald Mead Individual 5% Or Greater Indirect Ownership InterestCeo Apr 1, 2024 82.05%
Corporate OfficerCeo Apr 1, 2024
Corporate DirectorChairman of the Board Apr 1, 2024
Erik J Wilson Individual Corporate OfficerCoo Feb 9, 2026
Teena Gravis Individual W-2 Managing EmployeeAd; Jun 2, 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, 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, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 11, 2024 82.05%
Operational/Managerial Control Apr 1, 2024
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%

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743292800000",
    "number": "1699481838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD STE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD STE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINE CMI100 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-729-3129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Care Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.