Active NPI
The Wellcare Group, LLC
- Skilled Nursing Facility
- Chesaning, MI
National Provider Identifier
1083003453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE WELLCARE GROUP, LLC
- Practice address
- 201 S Front St
Chesaning, MI 48616-1328 - Phone
- (989) 845-6602
- Fax
- (989) 845-4719
- NPI assigned
- Jan 22, 2015
- 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
- Amee Patel
- Title
- Member
- Phone
- (734) 834-7377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
201 S Front St
Chesaning, MI 48616-1328
Mailing address
46036 Michigan Ave
Suite 108
Canton, MI 48188-2304
Phone (734) 834-7377
Other names 1
- Chesaning Nursing and Rehabilitation 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 |
|---|---|---|---|---|
| O20150428001416 | MI | Part A Provider - Skilled Nursing Facility | 6608195573 | Practice locations: Chesaning, MI |
Skilled nursing facility certification: CCN 235641
- Legal name
- THE WELLCARE GROUP LLC
- Doing business as
- CHESANING NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 30, 2008
- Last certification
- Oct 21, 2024
- Beds
- 51
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Mar 19, 2014 in MI
- Enrollment address
- 201 S Front St
Chesaning, MI 48616-1328 - Nursing home name
- CHESANING NURSING AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Chesaning Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 30, 2008
- Medicare certification status
- Active
- Certified beds
- 51
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Amee Patel | 5% Or Greater Direct Ownership Interest | Feb 13, 2015 | 100% |
| Robert C Haun | W-2 Managing Employee | Feb 13, 2015 | 100% |
| Operational/Managerial Control | Feb 13, 2015 | 100% | |
| Rockwell Holdings, LLC | Other | Feb 18, 2015 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- West Bloomfield, MI
- NPI 1689707333
-
- Internal Medicine Physician
- Caro, MI
- NPI 1780639450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428624000000",
"number": "1083003453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46036 MICHIGAN AVE",
"address_2": "SUITE 108",
"city": "CANTON",
"state": "MI",
"postal_code": "481882304",
"telephone_number": "734-834-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S FRONT ST",
"city": "CHESANING",
"state": "MI",
"postal_code": "486161328",
"telephone_number": "989-845-6602",
"fax_number": "989-845-4719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLCARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-22",
"last_updated": "2015-04-10",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AMEE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "734-834-7377"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chesaning Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesaning, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.