NPIMap

Organization Active NPI

Wellbridge of Romeo, LLC

  • Skilled Nursing Facility
  • Romeo, MI
National Provider Identifier
1548675507
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WELLBRIDGE OF ROMEO, LLC
Practice address
375 S Main St
Romeo, MI 48065-5185
Phone
(810) 623-5216
Fax
(517) 947-4450
NPI assigned
Jun 27, 2014
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Mr. Michael Daniel Perry, NHA
Title
Coo
Phone
(810) 623-5216

Specialties & licenses 1

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

Addresses

Primary practice location

375 S Main St
Romeo, MI 48065-5185

Mailing address

375 S Main St
Romeo, MI 48065-5185
Phone (810) 623-5216

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150424000689 MI Part A Provider - Skilled Nursing Facility 1052630068 Practice locations: Romeo, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548675507. Details of each certification follow.

Skilled nursing facility certification: CCN 235704

Legal name
WELLBRIDGE OF ROMEO LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 3, 2015
Last certification
Oct 10, 2024
Beds
124
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Nexcare/Wellbridge Senior Living
Organization structure
LLCProprietary
Incorporated
Apr 22, 2008 in MI
Enrollment address
375 S Main St
Romeo, MI 48065-5185
Nursing home name
WELLBRIDGE OF ROMEO
Affiliated entity
THE WELLBRIDGE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
WellBridge of RomeoCCN 235704 · 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
Feb 3, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
124119.4 residents per day on average
Chain
The Wellbridge Group8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
James Branscum Individual 5% Or Greater Indirect Ownership Interest Apr 22, 2008 30.3%
Nexcare Health Systems, LLC Organization, Brighton, MI LLC Operational/Managerial Control Apr 1, 2016 10%
Michael D Perry Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 2015 5%
E2G, LLC Organization, Farmington Hills, MI LLC 5% Or Greater Direct Ownership Interest Apr 22, 2008 30.3%
Senior Care Equities #15 LLC Organization, Brighton, MI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 22, 2008 30.3%
Frank M Wronski Living Trust Organization, Brighton, MI 5% Or Greater Direct Ownership Interest Apr 22, 2008 30.3%
Todd M Sangster Individual Corporate OfficerCfo Apr 1, 2016
Leo Eisenberg Individual 5% Or Greater Indirect Ownership Interest Apr 22, 2008 30.3%
Frank M Wronski Individual 5% Or Greater Indirect Ownership Interest Apr 22, 2008 30.3%
Sparkle Jackson Individual W-2 Managing EmployeeExecutive Director Jul 27, 2021 100%

Facilities with the same owner 26

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

View all 26

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 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": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1548675507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655185",
            "telephone_number": "810-623-5216",
            "fax_number": "517-947-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655185",
            "telephone_number": "810-623-5216",
            "fax_number": "517-947-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBRIDGE OF ROMEO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "810-623-5216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

Verify at the official NPI Registry.