Organization Active NPI

Trilogy Healthcare of Macomb, LLC

Doing business as Shelby Crossing Health Campus

  • Skilled Nursing Facility
  • Shelby Township, MI
National Provider Identifier
1083968853
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TRILOGY HEALTHCARE OF MACOMB, LLC
Doing business as
Shelby Crossing Health Campus
Practice address
13794 21 Mile Rd
Shelby Township, MI 48315
Phone
(586) 532-2100
Fax
(586) 532-2101
NPI assigned
Nov 1, 2012
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRILOGY INVESTORS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Cristina Pietrowski
Title
Evp & Clo
Phone
(502) 213-7572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

13794 21 Mile Rd
Shelby Township, MI 48315

Mailing address

13794 21 Mile Rd
Shelby Township, MI 48315-4854
Phone (586) 532-2100

Other identifiers 1

IdentifierTypeStateIssuer
60-2766881MedicaidMI

Other names 1

  • Shelby Crossing Health Campus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130208000342 MI Part A Provider - Skilled Nursing Facility 5597919050 Practice locations: Shelby Township, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083968853. Details of each certification follow.

Skilled nursing facility certification: CCN 235662

Legal name
TRILOGY HEALTHCARE OF MACOMB, LLC
Doing business as
SHELBY CROSSING HEALTH CAMPUS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 6, 2013
Last certification
Mar 26, 2025
Beds
57
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Dec 31, 2007 in DE
Enrollment address
13794 21 Mile Rd
Shelby Township, MI 48315-4854
Nursing home name
SHELBY CROSSING HEALTH CAMPUS
Affiliated entity
TRILOGY HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Shelby Crossing Health CampusCCN 235662 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 6, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5755.8 residents per day on average
Chain
Trilogy Health Services123 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
23D2050000Shelby Crossing Health Campus13794 21 Mile Road, Shelby Township, MI 48315Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
American Healthcare Reit Inc Organization, Irvine, CA Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Randall J Bufford Individual Corporate OfficerChairman of the Board Nov 1, 2019 14.28%
Northstar Healthcare Income Operating Partnership LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
William Bryant Individual Corporate OfficerChief Compliance Officer Jan 5, 2016 14.28%
Trilogy Real Estate Investment Trust Organization, Irvine, CA 5% Or Greater Indirect Ownership Interest Oct 1, 2021 96.7%
Trilogy Reit Holdings LLC Organization, Irvine, CA LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2021 96.7%
Trilogy Management Services LLC Organization, Louisville, KY LLC Operational/Managerial Control Oct 1, 2021
Gahc3 Trilogy JV LLC Organization, Irvine, CA LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2021 70%
Gregory a. Conner Individual Corporate OfficerSenior Vice President-Treasurer Jun 3, 2021 14.28%
American Healthcare Reit Holdings LP Organization, Irvine, CA 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Danny Prosky Individual Corporate OfficerExecutive Vice President Dec 1, 2015 14.28%
Trilogy Opco LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Dec 1, 2015 100%
Lisa Fightmaster Individual W-2 Managing EmployeeLicensure Analyst Dec 1, 2015
Trilogy Holdings NT-Hci, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2021 24%
Leigh Ann Barney Individual Corporate OfficerChief Executive Officer Nov 1, 2019 14.28%
Nelson Noel Chua Individual Operational/Managerial ControlExecutive Director Sep 22, 2021 100%
Mathieu B Streiff Individual Corporate OfficerExecutive Vice President Dec 1, 2015 14.28%
Keybank National Association Organization, Brooklyn, OH Financial institution 5% Or Greater Mortgage Interest Aug 1, 2018 100%
Trilogy Investors LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Trilogy Healthcare Holdings Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Kathy M Corbin Individual W-2 Managing EmployeeDirector of Licensing Jan 10, 2011
David W Davis Individual Corporate OfficerChief Financial Officer Aug 21, 2017 14.28%
Continental Merger Sub LLC Organization, Irvine, CA LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Northstar Healthcare Income Inc Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Gahc4 Trilogy JV LLC Organization, Irvine, CA LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2021 6%

Facilities with the same owner 72

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

View all 72

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1083968853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13794 21 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154854",
            "telephone_number": "586-532-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13794 21 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "586-532-2100",
            "fax_number": "586-532-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY HEALTHCARE OF MACOMB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILOGY INVESTORS LLC",
        "enumeration_date": "2012-11-01",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "PIETROWSKI",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "EVP & CLO",
        "authorized_official_telephone_number": "502-213-7572"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60-2766881",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Crossing Health Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.