Active NPI
Diamondale Nursing Care Center, LLC
- Skilled Nursing Facility
- Dimondale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 234060
- Legal business name
- DIAMONDALE NURSING CARE CENTER, LLC
- Practice address
- 4000 N Michigan Rd
Dimondale, MI 48821-9744 - Phone
- (517) 646-6258
- Fax
- (517) 646-0977
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Sangster
- Title
- Cfo
- Phone
- (810) 534-0150
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 234060 | MI | Primary |
| Nursing Facility Supplies (DME) | 332BN1400X | 234060 | MI |
Addresses
Primary practice location
4000 N Michigan Rd
Dimondale, MI 48821-9744
Mailing address
10503 Citation Dr
Suite 100
Brighton, MI 48116-6549
Phone (810) 534-0150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B31063 | Other | MI | BCBS DME P&O |
| 4624237 | Medicaid | MI | |
| 09572 | Other | MI | BCBSM |
Other names 1
- Dimondale Nursing Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040521001071 | MI | Part A Provider - Skilled Nursing Facility | 9739170259 | Practice locations: Dimondale, MI |
Skilled nursing facility certification: CCN 235256
- Legal name
- DIAMONDALE NURSING CARE CENTER, LLC
- Doing business as
- DIMONDALE NURSING CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1976
- Last certification
- Jun 14, 2024
- Beds
- 150
- Ownership / control type
- Corporation
- Multi-facility organization
- NexCare Wellbridge
- Organization structure
- LLC
- Incorporated
- Sep 9, 2003 in MI
- Enrollment address
- 4000 N Michigan Rd
Dimondale, MI 48821-9744 - Nursing home name
- DIMONDALE NURSING CARE CENTER
- Affiliated entity
- NEXCARE HEALTH SYSTEMS
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James Branscum | 5% Or Greater Indirect Ownership Interest | Dec 1, 2013 | 31% |
| Nexcare Health Systems, LLC | Operational/Managerial Control | May 1, 2004 | 10% |
| Michael D Perry | Operational/Managerial Control | Aug 1, 2015 | |
| Todd M Sangster | Corporate Officer | Nov 4, 2013 | |
| Robin Eisenberg 2014 Family Trust | 5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 31% |
| Nexcare Holdings, LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2013 | 100% |
| Leo Eisenberg | 5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 31% |
| Frank M Wronski | 5% Or Greater Indirect Ownership Interest | Apr 1, 2014 | 31% |
| Hollie Stambersky | W-2 Managing Employee | May 28, 2019 |
Facilities with the same owner 27
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bay City, MI
- NPI 1891845210
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Jackson, MI
- NPI 1003653130
Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Westland, MI
- NPI 1174672372
Nexcare Health Systems, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Southfield, MI
- NPI 1538218631
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Durand, MI
- NPI 1962567438
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Springfield, MI
- NPI 1992855316
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Detroit, MI
- NPI 1750431276
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Jackson, MI
- NPI 1174673594
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Holt, MI
- NPI 1316190515
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Nursing Facility/Intermediate Care Facility
- Saginaw, MI
- NPI 1215939491
Nexcare Health Systems, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Clinton TWP, MI
- NPI 1487704805
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
-
- Skilled Nursing Facility
- Detroit, MI
- NPI 1821148248
Nexcare Health Systems, LLC, Nexcare Holdings, LLC, Robin Eisenberg 2014 Family Trust
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Dimondale, MI
- NPI 1417119892
-
- Geriatric Medicine (Internal Medicine) Physician
- Lansing, MI
- NPI 1336197706
-
- Geriatric Medicine (Family Medicine) Physician
- Okemos, MI
- NPI 1033313069
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lansing, MI
- NPI 1336197706
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Okemos, MI
- NPI 1033313069
Nursing home
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Dimondale Nursing Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1976
- Medicare certification status
- Active
- Certified beds
- 150
- Chain
- Nexcare Health Systems
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0675532 | Dimondale Nursing Care Center | Certificate of waiver | Aug 31, 2026 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1073663498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10503 CITATION DR",
"address_2": "SUITE 100",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481166549",
"telephone_number": "810-534-0150",
"fax_number": "810-534-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 N MICHIGAN RD",
"city": "DIMONDALE",
"state": "MI",
"postal_code": "488219744",
"telephone_number": "517-646-6258",
"fax_number": "517-646-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAMONDALE NURSING CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "SANGSTER",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "810-534-0150"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MI",
"license": "234060",
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "MI",
"license": "234060",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DME P&O",
"identifier": "0B31063",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4624237",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "09572",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dimondale Nursing Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dimondale Nursing Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dimondale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.