NPIMap

Organization Active NPI

Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
National Provider Identifier
1669965299
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WELLBRIDGE OF CLARKSTON, LLC
Practice address
5655 Clarkston Road
Independence Township, MI 48348
Phone
(810) 534-0150
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Mr. Todd Sangster
Title
Cfo
Phone
(810) 534-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5655 Clarkston Road
Independence Township, MI 48348

Mailing address

10503 Citation Dr Ste 100
Brighton, MI 48116-6551
Phone (810) 534-0150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190211003121 MI Part A Provider - Skilled Nursing Facility 8325386675 Practice locations: Clarkston, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669965299. Details of each certification follow.

Skilled nursing facility certification: CCN 235726

Legal name
WELLBRIDGE OF CLARKSTON, LLC
Doing business as
WELLBRIDGE OF CLARKSTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 7, 2019
Last certification
May 15, 2025
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Nexcare Wellbridge
Organization structure
LLCProprietary
Incorporated
Jan 14, 2011 in MI
Enrollment address
5655 Clarkston Rd
Clarkston, MI 48348-3714
Nursing home name
WELLBRIDGE OF CLARKSTON
Affiliated entity
THE WELLBRIDGE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
WellBridge of ClarkstonCCN 235726 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 7, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10092.2 residents per day on average
Chain
The Wellbridge Group8 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
23D2153882Wellbridge of Clarkston5655 Clarkston Road, Clarkston, MI 48348Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
James Branscum Individual 5% Or Greater Indirect Ownership Interest Dec 4, 2012 30.3%
Nexcare Health Systems, LLC Organization, Brighton, MI LLC Operational/Managerial Control Oct 18, 2018 10%
Senior Care Equities 18 LLC Organization, Brighton, MI LLC 5% Or Greater Direct Ownership Interest Dec 4, 2012 30.3%
Michael D Perry Individual 5% Or Greater Indirect Ownership InterestCeo Jan 1, 2019 5%
E2G, LLC Organization, Farmington Hills, MI LLC 5% Or Greater Direct Ownership Interest Jan 14, 2011 30.3%
Todd M Sangster Individual Corporate OfficerCfo Jan 1, 2018
Scott Keebaugh Individual W-2 Managing EmployeeExecutive Director Apr 18, 2021 100%
Leo Eisenberg Individual 5% Or Greater Indirect Ownership Interest Jan 14, 2011 30.3%
Frank M Wronski Individual 5% Or Greater Direct Ownership Interest Jan 14, 2011 30.3%

Facilities with the same owner 25

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

View all 25

Practitioners & affiliated clinicians

Practitioners 492

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.

View all 492

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": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1669965299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 CITATION DR STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166551",
            "telephone_number": "810-534-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 CLARKSTON ROAD",
            "city": "INDEPENDENCE TOWNSHIP",
            "state": "MI",
            "postal_code": "48348",
            "telephone_number": "810-534-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBRIDGE OF CLARKSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-02-04",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence Township, MI

Sources for this page

Verify at the official NPI Registry.