Active NPI
Wellbridge of Brighton, LLC
- Skilled Nursing Facility
- Howell, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WELLBRIDGE OF BRIGHTON, LLC
- Practice address
- 2200 Dorr Rd
Howell, MI 48843-8626 - Phone
- (810) 623-5216
- NPI assigned
- Mar 26, 2013
- Last updated
- Nov 13, 2013
- 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
- Mr. Michael Daniel Perry, NHA
- Title
- Coo
- Phone
- (810) 623-5216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2200 Dorr Rd
Howell, MI 48843-8626
Mailing address
2200 Dorr Rd
Howell, MI 48843-8626
Phone (810) 623-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131203002027 | MI | Part A Provider - Skilled Nursing Facility | 6103052725 | Practice locations: Howell, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881936060. Details of each certification follow.
Skilled nursing facility certification: CCN 235668
- Legal name
- WELLBRIDGE OF BRIGHTON, LLC
- Doing business as
- WELLBRIDGE OF BRIGHTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 31, 2013
- Last certification
- Oct 16, 2024
- Beds
- 88
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- NexCare Wellbridge Senior Living
- Organization structure
- LLC
- Incorporated
- May 12, 2011 in MI
- Enrollment address
- 2200 Dorr Rd
Howell, MI 48843-8626 - Nursing home name
- WELLBRIDGE OF BRIGHTON
- Affiliated entity
- THE WELLBRIDGE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- WellBridge of Brighton
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 31, 2013
- Medicare certification status
- Active
- Certified beds
- 88
- Chain
- The Wellbridge Group
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
2200 Dorr Rd
Howell, MI 48843
Phone (517) 347-4400
Ownership & related parties
All disclosed owners & managing parties 11
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 | Mar 20, 2013 | 30.3% |
| Nexcare Health Systems, LLC | Operational/Managerial Control | Jan 1, 2016 | 10% |
| Michael D Perry | 5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 5% |
| Corporate Officer | Nov 11, 2013 | ||
| Angela Shamus | W-2 Managing Employee | Oct 17, 2020 | 100% |
| E2G, LLC | 5% Or Greater Direct Ownership Interest | Mar 20, 2013 | 30.3% |
| Frank M Wronski Living Trust | 5% Or Greater Direct Ownership Interest | Nov 11, 2013 | 30.3% |
| Timothy Hunter | W-2 Managing Employee | Nov 1, 2021 | 100% |
| Todd M Sangster | Corporate Officer | Nov 11, 2013 | |
| Senior Care Equities #14, LLC | 5% Or Greater Direct Ownership Interest | Mar 20, 2013 | 30.3% |
| Leo Eisenberg | 5% Or Greater Indirect Ownership Interest | Mar 20, 2013 | 30.3% |
| Frank M Wronski | 5% Or Greater Indirect Ownership Interest | Mar 20, 2013 | 30.3% |
Facilities with the same owner 26
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Bay Shores Senior Care and Rehab Center
- Skilled Nursing Facility
- Bay City, MI
- NPI 1891845210
Nexcare Health Systems, LLC
-
dba Four Chaplains Nursing Care Centre
- Skilled Nursing Facility
- Westland, MI
- NPI 1174672372
Nexcare Health Systems, LLC
-
dba Lahser Hills Care Centre
- Skilled Nursing Facility
- Southfield, MI
- NPI 1538218631
Nexcare Health Systems, LLC
-
dba Dimondale Nursing Care Center
- Skilled Nursing Facility
- Dimondale, MI
- NPI 1073663498
Nexcare Health Systems, LLC
-
- Skilled Nursing Facility
- Durand, MI
- NPI 1962567438
Nexcare Health Systems, LLC
-
dba Evergreen Senior Care and Rehab Center
- Skilled Nursing Facility
- Springfield, MI
- NPI 1992855316
Nexcare Health Systems, LLC
-
- Skilled Nursing Facility
- Detroit, MI
- NPI 1750431276
Nexcare Health Systems, LLC
-
- Skilled Nursing Facility
- Jackson, MI
- NPI 1174673594
Nexcare Health Systems, LLC
-
- Skilled Nursing Facility
- Holt, MI
- NPI 1316190515
Nexcare Health Systems, LLC
-
dba Hoyt Nursing & Rehab Centre
- Nursing Facility/Intermediate Care Facility
- Saginaw, MI
- NPI 1215939491
Nexcare Health Systems, LLC
-
- Skilled Nursing Facility
- Clinton TWP, MI
- NPI 1487704805
Nexcare Health Systems, LLC
-
- Skilled Nursing Facility
- Detroit, MI
- NPI 1821148248
Nexcare Health Systems, LLC
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.
-
- Internal Medicine Physician
- Howell, MI
- NPI 1275590119
Affiliated clinicians 2
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": "1364256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384300800000",
"number": "1881936060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 DORR RD",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438626",
"telephone_number": "810-623-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 DORR RD",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438626",
"telephone_number": "810-623-5216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLBRIDGE OF BRIGHTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-26",
"last_updated": "2013-11-13",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.