Active NPIOrganization

420 Dean Lane Opco, LLC

Skilled Nursing Facility in Gardendale, Alabama

NPI Number1164378691
Practice location
420 Dean Dr, Gardendale, AL 35071-2763
Fax
—
Last updated
October 20, 2026

420 Dean Lane Opco, LLC is a healthcare organization based in Gardendale, AL. 420 Dean Lane Opco, LLC practices in Gardendale, AL. The NPI Number for 420 Dean Lane Opco, LLC is 1164378691. The current practice location address for 420 Dean Lane Opco, LLC is 420 Dean Dr, Gardendale, AL 35071-2763 and can be reached out via phone at 323-928-9445.

Provider Profile Details

NPI Number
1164378691
Provider Name
420 Dean Lane Opco, LLC
Provider Entity Type
Organization
Address
420 Dean Dr, Gardendale, AL 35071-2763
Phone Number
323-928-9445
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Avrohom Tress · Executive Vice President · 323-928-9445
Other Names
Magnolia Ridge Post Acute (Doing Business As)
Provider Enumeration Date
March 6, 2026
Last Update Date
October 20, 2026
Certification Date
October 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
420 Dean Dr
Gardendale, AL 35071-2763
State
Alabama
Zip
35071-2763
Phone Number
323-928-9445
Gardendale, AL 35071Get directions →

Provider Business Mailing Address Details

Address
9526 W Pico Blvd
Los Angeles, CA 90035-1202
City
Los Angeles
State
CA
Zip
90035-1202

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 420 Dean Lane Opco, LLC?

The NPI number of 420 Dean Lane Opco, LLC is 1164378691. It was assigned on March 6, 2026 and is currently active in the NPPES registry.

What is the specialty of 420 Dean Lane Opco, LLC?

420 Dean Lane Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 420 Dean Lane Opco, LLC practice?

The practice location is 420 Dean Dr, Gardendale, AL 35071-2763. The office can be reached at 323-928-9445 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164378691 directly on the NPPES registry website.

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