NPI 1164378642 · live from the CMS NPI Registry
280 Mount Hebron Road Opco, LLC
Skilled Nursing Facility in Elmore, AL. National Provider Identifier 1164378642, active.
NPI record
| NPI | 1164378642 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 280 Mt Hebron Rd, Elmore, AL 36025 |
| Practice phone | 323-928-9445 |
| Mailing address | 9526 W Pico Blvd, Los Angeles, CA 90035 |
| Enumerated | March 7, 2026 |
| Last updated | October 20, 2026 |
| Authorized official | Avrohom Tress, Executive Vice President |
| Other names | Merry Wood Lodge Post Acute |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.