NPIMap

Organization Active NPI

Sunbridge Gardendale Health Care Center, LLC

Doing business as Magnolia Ridge

  • Skilled Nursing Facility
  • Gardendale, AL
National Provider Identifier
1285684068
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
16266 Issued in AL
Legal business name
SUNBRIDGE GARDENDALE HEALTH CARE CENTER, LLC
Doing business as
Magnolia Ridge
Practice address
420 Dean Dr
Gardendale, AL 35071-2763
Phone
(205) 631-8709
Fax
(205) 608-1639
NPI assigned
May 11, 2006
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 16266 AL Primary

Addresses

Primary practice location

420 Dean Dr
Gardendale, AL 35071-2763

Mailing address

420 Dean Dr
Gardendale, AL 35071-2763
Phone (205) 631-8709

Other identifiers 2

IdentifierTypeStateIssuer
010-38OtherALBCBS OF ALABAMA
4754730SMedicaidAL

Other names 1

  • Magnolia Ridge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000571 AL Part A Provider - Skilled Nursing Facility 6608925094 Practice locations: Gardendale, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285684068. Details of each certification follow.

Skilled nursing facility certification: CCN 015133

Legal name
SUNBRIDGE GARDENDALE HEALTH CARE CENTER, LLC
Doing business as
MAGNOLIA RIDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 16, 1976
Last certification
Mar 19, 2025
Beds
148
Ownership / control type
Corporation
Multi-facility organization
GENESIS
Organization structure
LLCProprietary
Incorporated
May 22, 1996 in GA
Enrollment address
420 Dean Dr
Magnolia Ridge
Gardendale, AL 35071-2763
Nursing home name
MAGNOLIA RIDGE
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Magnolia RidgeCCN 015133 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 16, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14854.1 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)
1Fines totaling $392,125

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
01D0300230Magnolia Ridge Care and Rehabilitation Center420 Dean Lane, Gardendale, AL 35071Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

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
HCCF Management Group XI LLC Organization, Alpharetta, GA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 14.73%
Gen Operations I LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Gen Operations II LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
FC-Gen Operations Investment LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Organization, Kennett Square, PA LLC Adp of the SNF Feb 15, 2025
Oludayo B Dawodu Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Feb 15, 2025
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%
Organization, Westlake Village, CA Corporation Adp of the SNF Feb 15, 2025
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Sun Healthcare Group Inc Organization, Kennett Square, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 52.24%
Larry Huffman Individual Operational/Managerial Control Nov 3, 2025
Adp of the SNF Nov 3, 2025
Sunbridge Retirement Care Associates, LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 15, 2009 100%
Welltower Op, LLC Organization, Toledo, OH LLC, 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 Dec 1, 2012 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 LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 8.48%
Steven E Fishman Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 11.15%
Avi Pinchas Mendelson Individual Corporate OfficerPresident, Cfo Jun 1, 2024
Michael T Berg Individual Corporate OfficerSecretary Dec 1, 2012
Sunbridge Healthcare LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2012 100%

Owners & managing parties with NPI records 9

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

Facilities with the same owner 174

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 Healthcare LLC

    dba Merry Wood Lodge

    • Skilled Nursing Facility
    • Elmore, AL
    • NPI 1104876226

    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 174

Practitioners & affiliated clinicians

Practitioners 3

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1285684068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DEAN DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712763",
            "telephone_number": "205-631-8709",
            "fax_number": "205-608-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DEAN DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712763",
            "telephone_number": "205-631-8709",
            "fax_number": "205-608-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBRIDGE GARDENDALE HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICAHEL",
        "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": "16266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "010-38",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754730S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.