NPIMap

Organization Active NPI

Sunbridge Healthcare LLC

Doing business as Merry Wood Lodge

  • Skilled Nursing Facility
  • Elmore, AL
National Provider Identifier
1104876226
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
16967 Issued in AL
Legal business name
SUNBRIDGE HEALTHCARE LLC
Doing business as
Merry Wood Lodge
Practice address
280 Mt Hebron Rd
Elmore, AL 36025-1526
Phone
(334) 567-8484
NPI assigned
May 11, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Michael T. Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 16967 AL Primary

Addresses

Primary practice location

280 Mt Hebron Rd
Elmore, AL 36025-1526

Mailing address

280 Mt Hebron Rd
Elmore, AL 36025-1526
Phone (334) 567-8484

Other identifiers 2

IdentifierTypeStateIssuer
010-693OtherALBCBS OF ALABAMA, PO BOC 9
4750190SMedicaidAL

Other names 1

  • Merry Wood Lodge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090527000219 AL Part A Provider - Skilled Nursing Facility 9436067147 Practice locations: Elmore, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104876226. Details of each certification follow.

Skilled nursing facility certification: CCN 015019

Legal name
SUNBRIDGE HEALTHCARE LLC
Doing business as
MERRY WOOD LODGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1974
Last certification
Sep 1, 2024
Beds
124
Ownership / control type
Limited Liability Corporation
Multi-facility organization
GENESIS HEALTHCARE SERVICES
Organization structure
LLCProprietary
Incorporated
Dec 7, 1988 in NM
Enrollment address
280 Mt Hebron Rd
Elmore, AL 36025-1526
Nursing home name
MERRY WOOD LODGE
Affiliated entity
GENESIS HEALTHCARE

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Merry Wood LodgeCCN 015019 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12498.6 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $182,968

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Northview Hospital28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Laura Bridgeford Individual Corporate OfficerTreasurer Jun 1, 2024
Joel C Bolen Individual Contracted Managing EmployeeMD; Mar 1, 2024
Adp of the SNF Dec 16, 2024
HCCF Management Group XI LLC Organization, Atlanta, GA Investment firm, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 14.73%
Gen Operations I LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Gen Operations II LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Organization, Kennett Square, PA LLC Adp of the SNF Dec 16, 2024
FC-Gen Operations Investment LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Organization, Hunt Valley, MD Corporation Adp of the SNF Dec 16, 2024
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 5.81%
Genesis Healthcare LLC Organization, Kennett Square, PA For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 100%
Sun Healthcare Group Inc Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 52.24%
Larry Huffman Individual W-2 Managing EmployeeAd; Mar 1, 2024
Adp of the SNF Dec 16, 2024
Welltower Op, LLC Organization, Toledo, OH Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2024 5.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 17.42%
Genesis Healthcare Inc Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 52.24%
Zac Properties XI LLC Organization, Philadelphia, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 8.48%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 11.15%
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Jun 1, 2024
Michael T Berg Individual Corporate OfficerAssistant Secretary Mar 2, 2015
Operational/Managerial ControlVP, Deputy General Counsel Mar 2, 2015
Genesis Holdings LLC Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 2, 2015 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Joel C Bolen, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Montgomery, AL
    • NPI 1063576130

    Adp of the SNF, Contracted Managing Employee

    CMS ownership

All facility ownership & control disclosures 23

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Las Palomas CenterAlbuquerque, NM, CCN 325036 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Casa del Sol CenterLas Cruces, NM, CCN 325108 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Casa de Oro CenterLas Cruces, NM, CCN 325047 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Rio Rancho CenterRio Rancho, NM, CCN 325033 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Mission Arch CenterRoswell, NM, CCN 325044 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Ladera CenterAlbuquerque, NM, CCN 325037 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Larkin Chase CenterBowie, MD, CCN 215264 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 20, 2007
Cumberland Village CareLa Follette, TN, CCN 445276 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2008
Salem CenterSalem, WV, CCN 515071 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Exeter CenterExeter, NH, CCN 305064 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 20, 2007
Putnam CenterHurricane, WV, CCN 515070 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Mar 2, 2015
Mount Olive CenterMount Olive, NC, CCN 345126 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Pembroke CenterPembroke, NC, CCN 345409 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2009
Willow Ridge CenterMaynardville, TN, CCN 445284 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Siler City CenterSiler City, NC, CCN 345143 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2009
Abbotts Creek CenterLexington, NC, CCN 345333 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Meridian CenterHigh Point, NC, CCN 345172 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Pine LodgeBeckley, WV, CCN 515001 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Feb 2, 2015
Magnolia RidgeGardendale, AL, CCN 015133 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2012
Washington CenterSan Leandro, CA, CCN 056121 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2013
Applewood CenterWinchester, NH, CCN 305065 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2019
Crestwood CenterMilford, NH, CCN 305061 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2019
Pheasant Wood CenterPeterborough, NH, CCN 305059 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) May 1, 2019

Owned or controlled facilities with NPI records 23

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 23

Facilities with the same owner 176

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

  • 211 213 Ana Drive Operations LLC

    dba Glenwood Center

    • Skilled Nursing Facility
    • Florence, AL
    • NPI 1851790844

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • Sunbridge Gardendale Health Care Center, LLC

    dba Magnolia Ridge

    • Skilled Nursing Facility
    • Gardendale, AL
    • NPI 1285684068

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • Sunbridge Healthcare LLC

    dba Cottage of the Shoals

    • Skilled Nursing Facility
    • Tuscumbia, AL
    • NPI 1285685362

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • Sunbridge Healthcare LLC

    dba Cypress Cove Center

    • Skilled Nursing Facility
    • Muscle Shoals, AL
    • NPI 1346291176

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • Sunbridge Healthcare LLC

    dba Keller Landing

    • Skilled Nursing Facility
    • Tuscumbia, AL
    • NPI 1750331906

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • Sunbridge Healthcare LLC

    dba River City Center

    • Skilled Nursing Facility
    • Decatur, AL
    • NPI 1760432652

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 1 Sutphin Drive Operations LLC

    dba Marmet Center

    • Skilled Nursing Facility
    • Marmet, WV
    • NPI 1538343710

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 100 Abbeyville Road Operations LLC

    dba Abbeyville Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Lancaster, PA
    • NPI 1467162172

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 100 Chambers Street Operations LLC

    dba Grandview Center

    • Skilled Nursing Facility
    • Cumberland, RI
    • NPI 1891977625

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 100 W Queen Street Operations LLC

    dba Dallastown Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Dallastown, PA
    • NPI 1336859040

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 1000 Lincoln Drive Operations LLC

    dba Valley Center

    • Skilled Nursing Facility
    • South Charleston, WV
    • NPI 1558545749

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
  • 1008 Thompson Street Operations LLC

    dba Jersey Shore Skilled Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Jersey Shore, PA
    • NPI 1063122778

    FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Wellt

    CMS ownership
View all 176

Practitioners & affiliated clinicians

Practitioners 2

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 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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1104876226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MT HEBRON RD",
            "city": "ELMORE",
            "state": "AL",
            "postal_code": "360251526",
            "telephone_number": "334-567-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MT HEBRON RD",
            "city": "ELMORE",
            "state": "AL",
            "postal_code": "360251526",
            "telephone_number": "334-567-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "16967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA, PO BOC 9",
            "identifier": "010-693",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4750190S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merry Wood Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmore, AL

Sources for this page

Verify at the official NPI Registry.