Intelicare Hospice Services, LLC
Organization Active NPI Community Based Hospice Care Agency · Standish, MI
NPI 1053709279 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1053709279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- INTELICARE HOSPICE SERVICES, LLC
- Practice address
- 441 S Main St
Suite 4
Standish, MI 48658-9480 - Phone
- (989) 846-0480
- Fax
- (989) 846-0482
- NPI assigned
- Dec 23, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- INTELICARE HEALTH SERVICES, LLC
Authorized official
- Name
- Valerie Jo Dewbre
- Title
- Compliance Officer
- Phone
- (214) 534-0716
Owners & managing parties with NPI records 1
-
Hernan Maldonado, MD
Facilities with the same owner 12
Affiliated clinicians 11
-
Naeem Ahmed, M.D.
-
David Dennis Dargis, D.O.
-
Brian J Gedeon, MD
-
Robert N Israel, M.D.
-
Kelly Renae Kobel, FNP-C
-
Hernan Maldonado, MD
-
Garrett Howard Smith, M.D.
-
John Wilkins, DO
Medicare Care Compare: Hospice
- Listed as
- The Care Team Hospice
- Ownership
- For-Profit
- Certified
- Jul 21, 2016
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2096564 | Intelicare Hospice Services, LLC | Certificate of waiver | May 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Hospice certification: CCN 231651
- Legal name
- INTELICARE HOSPICE SERVICES LLC
- Doing business as
- THE CARE TEAM; THE CARE TEAM HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 21, 2016
- Last certification
- Jul 21, 2016
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC · Proprietary
- Enrollment address
- 441 S Main St
Ste 4
Standish, MI 48658-9480
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Corrinne Ehlert |
Corporate Officer |
Dec 3, 2025 | |
| W-2 Managing Employee |
Dec 3, 2025 | ||
| Boca Buyer Parent, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 100% |
| RCP Boca Buyer Parent, LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 100% |
| Scott Sasserson |
Corporate Officer |
Jan 15, 2026 | |
| Corporate Director |
Jan 15, 2026 | ||
| W-2 Managing Employee |
Jan 15, 2026 | ||
| Valerie J Dewbre |
Corporate Officer |
Nov 29, 2021 | |
| W-2 Managing Employee |
Dec 1, 2021 | ||
| RCP TCT Intermediate Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 100% |
| RCP TCT Blocker LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 99.98% |
| Hernan Maldonado |
W-2 Managing Employee |
Oct 1, 2025 | |
| RCP Boca Buyer, LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 100% |
| Revelstoke Capital Partners Fund II, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 8, 2020 | 98% |
| RCP TCT LLC |
5% Or Greater Direct Ownership Interest | Dec 8, 2020 | 100% |
| Genna Gorte |
W-2 Managing Employee |
Oct 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150304000602 | MI | Part a Provider - Hospice | 2466778758 | Practice locations: Standish, MI |
National Provider Directory
Locations
441 S Main St
Ste 4
Standish, MI 48658
Phone (989) 846-0480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | MI | Yes |
Addresses
Primary practice location
441 S Main St
Suite 4
Standish, MI 48658-9480
Mailing address
33533 W 12 Mile Rd Ste 260
Farmington Hills, MI 48331-5635
Phone (989) 846-0480
Other names
- The Care Team
- The Care Team Hospice
Other providers in Standish, MI
- John S Graves
- Gregory John Haven
- Melinda Lee Hawley
- Amanda M Hesling
- Mandi Lynn Hunt
- Susan Elizabeth Jock
- John S Graves OD PC
- John S Graves OD PLC
- Keri Ann Marie Johnson
- Amber Ann Jones
All providers in Standish, MI · Community Based Hospice Care Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.