Organization Active NPI

Elite Home Health Care, Inc

Doing business as InTeliCare Health Services

  • Home Health Agency
  • Standish, MI
National Provider Identifier
1225101579
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HOME HEALTH CARE, INC
Doing business as
Elite Home Healthcare, Inc.
InTeliCare Health Services
Practice address
441 S Main St Ste 3
Standish, MI 48658-9480
Phone
(989) 846-2222
Fax
(989) 846-4556
NPI assigned
Nov 16, 2006
Last updated
Mar 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
Ms. Irene R Tuttle, RN
Title
President
Phone
(941) 266-8036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

441 S Main St Ste 3
Standish, MI 48658-9480

Mailing address

441 S Main St Ste 3
Standish, MI 48658-9480
Phone (989) 846-2222

Other practice location 1

300 W Washington Ave
Suite 401
Jackson, MI 49201-2180
Phone (517) 780-7990

Other names 2

  • ELITE HOME HEALTHCARE, INC. Doing business as
  • InTeliCare Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031021000012 MI Part A Provider - Home Health Agency 7810809639 Practice locations: Standish, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225101579. Details of each certification follow.

Home health agency certification: CCN 237541

Legal name
ELITE HOME HEALTH CARE INC
Doing business as
THE CARE TEAM; THE CARE TEAM HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 15, 2004
Last certification
Nov 15, 2004
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 20, 2003 in MI
Enrollment address
441 S Main St
Ste 3
Standish, MI 48658-9480

Care Compare: Home health agency

Medicare Care Compare
Listed as
The Care TeamCCN 237541 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 15, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
23D1019383Elite Home Health Care, Inc441 S Main Street Suite 3, Standish, MI 48658Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory

Locations

300 W Washington Ave
Ste 401
Jackson, MI 49201
Phone (517) 780-7990

441 S Main St
Ste 3
Standish, MI 48658
Phone (989) 846-2222

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
RCP TCT Holdings LLC Organization, Farmington Hills, MI LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 8, 2020 100%
Frost GLH Holdings Inc Organization, Farmington Hills, MI Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 8, 2020 10.21%
Intelicare Health Services Mi1 LLC Organization, Standish, MI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Feb 10, 2014 100%
Jason W Laing Individual 5% Or Greater Indirect Ownership InterestChief Executive Officer Oct 9, 2019 36.9%
Corporate DirectorChairman of the Board Dec 8, 2020 100%
Jason Laing Revocable Trust Organization, Northville, MI 5% Or Greater Indirect Ownership Interest Dec 31, 2021 36.9%
Jeanne Colette la Liberte Individual W-2 Managing EmployeeAd; Dec 1, 2024
Valerie J Dewbre Individual Corporate OfficerChief Compliance Officer Nov 29, 2021
RCP TCT Intermediate Holdings, LLC Organization, Wilmington, DE LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2021 100%
RCP TCT Blocker LLC Organization, Wilmington, DE LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 8, 2020 63.1%
Pinebrook Holdings, LLC Organization, Farmington Hills, MI LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 8, 2020 26.69%
CHHC Holdings Inc Organization, Farmington Hills, MI Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 8, 2020 26.69%
RCP TCT Blocker II, LLC Organization, Denver, CO LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 8, 2020 100%
Revelstoke Capital Partners Fund II, L.P. Organization, Denver, CO For-profit 5% Or Greater Indirect Ownership Interest Dec 8, 2020 63.1%
Daniel Kent Shoemaker Individual Corporate OfficerCeo Jul 1, 2022
W-2 Managing EmployeeCeo Jul 1, 2022
RCP TCT LLC Organization, Wilmington, DE LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 8, 2020 100%

Facilities with the same owner 12

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

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1225101579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S MAIN ST STE 3",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589480",
            "telephone_number": "989-846-2222",
            "fax_number": "989-846-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S MAIN ST STE 3",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589480",
            "telephone_number": "989-846-2222",
            "fax_number": "989-846-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Washington Ave",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492012180",
            "country_code": "US",
            "telephone_number": "517-780-7990",
            "fax_number": "517-780-7996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-266-8036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE HOME HEALTHCARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELITE HOME HEALTHCARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InTeliCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Standish, MI

Sources for this page

Verify at the official NPI Registry.