Organization Active NPI

Traditions Hospice of Crown Point, LLC

Doing business as The Care Team Hospice

  • Community Based Hospice Care Agency
  • Crown Point, IN
National Provider Identifier
1922600386
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRADITIONS HOSPICE OF CROWN POINT, LLC
Doing business as
The Care Team Hospice
Traditions Health
Practice address
1229 Arrowhead CT
Crown Point, IN 46307-8222
Phone
(219) 661-3100
Fax
(219) 661-3105
NPI assigned
Nov 11, 2020
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Valerie Jo Dewbre
Title
Compliance Officer
Phone
(214) 534-0716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1229 Arrowhead CT
Crown Point, IN 46307-8222

Mailing address

33533 W 12 Mile Rd Ste 260
Farmington Hills, MI 48331-5635
Phone (979) 704-6547

Other practice location 1

3555 Park Pl W Ste 100
Mishawaka, IN 46545-3587
Phone (574) 254-1041

Other names 2

  • The Care Team Hospice Doing business as
  • Traditions Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210225003115 GA Part A Provider - Hospice 6709291610 Practice locations: Crown Point, IN; Mishawaka, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922600386. Details of each certification follow.

Hospice certification: CCN 151544

Legal name
TRADITIONS HOSPICE OF CROWN POINT LLC
Doing business as
TRADITIONS HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 25, 1996
Last certification
Dec 9, 2020
Ownership / control type
Non-Profit - Other
Organization structure
LLCProprietary
Incorporated
Jul 1, 2020 in DE
Enrollment address
1229 Arrowhead CT
Crown Point, IN 46307-8222

Care Compare: Hospice

Medicare Care Compare
Listed as
Traditions HealthCCN 151544 · All quality measures
Ownership
Non-Profit
Certified
Jan 25, 1996
Medicare certification status
ActiveFrom the Provider of Services file

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
15D1067725Traditions Hospice of Crown Point, LLC1229 Arrowhead CT, Crown Point, IN 46307Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

3555 Park Pl W
Ste 100
Mishawaka, IN 46545
Phone (574) 254-1041

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Corrinne Ehlert Individual W-2 Managing EmployeeChief Clinical/Compliance Officer Dec 3, 2025
Boca Buyer Parent, L.P. Organization, Denver, CO Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%
Traditions Health, LLC Organization, College Station, TX 5% Or Greater Direct Ownership Interest Nov 30, 2020 100%
RCP Boca Buyer Parent, LLC Organization, Denver, CO Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%
Valerie J Dewbre Individual W-2 Managing EmployeeCompliance Officer Dec 3, 2025
RCP TCT Intermediate Holdings, LLC Organization, Denver, CO Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%
RCP TCT Blocker LLC Organization, Denver, CO Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 99.98%
RCP Boca Buyer, LLC Organization, Denver, CO Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%
Jessica Brewer Individual W-2 Managing EmployeeAd; Dec 3, 2025
Fadi I Alzeidan Individual W-2 Managing EmployeeMD; Dec 3, 2025
Revelstoke Capital Partners Fund II, L.P. Organization, Denver, CO Private equity company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 98%
Daniel Kent Shoemaker Individual Corporate OfficerCeo Dec 3, 2025
W-2 Managing EmployeeCeo Dec 3, 2025
RCP TCT LLC Organization, Denver, CO Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%

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 27

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

View all 27

Change-of-ownership history 1

DateEventCounterparty
Nov 30, 2020 Change of OwnershipThis provider was the buyer Harbor Light HospiceCCN 151544, IL, NPI 1801899950

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 9

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": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1922600386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD STE 260",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315635",
            "telephone_number": "979-704-6547",
            "fax_number": "866-908-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 ARROWHEAD CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078222",
            "telephone_number": "219-661-3100",
            "fax_number": "219-661-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Park Pl W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453587",
            "country_code": "US",
            "telephone_number": "574-254-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRADITIONS HOSPICE OF CROWN POINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "DEWBRE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "214-534-0716"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Care Team Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.