MEDICARE: 501 CALDWELL LANE OPCO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1649126301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	501 CALDWELL LANE OPCO, LLC

Provider Business Mailing Address
First Line	:	9526 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 CALDWELL LN
Second Line	:
City	:	DUNBAR
State	:	WV
Zip	:	25064-2026
Country	:	US
Telephone Number	:	323-928-9445
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	AVROHOM TRESS
Credential	:
Telephone Number	:	323-928-9445

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

Similar Medicare Providers

1235902909 — SHAA MARCUM LICSW
Practice Location Address:

501 CALDWELL LN
DUNBAR, WV
25064-2026

Practice Phone: 312-965-8811
Practice Fax:

1114974649 — SUNBRIDGE DUNBAR HEALTH CARE LLC
Practice Location Address:

501 CALDWELL LANE
DUNBAR, WV
25064-2026

Practice Phone: 304-744-4761
Practice Fax: 304-744-5762

1578750550 — ANGELA R. BILLS
Practice Location Address:

501 CALDWELL LN
DUNBAR, WV
25064-2026

Practice Phone: 304-744-4761
Practice Fax:

1386948545 — AMBER NICOLE NELSON COTA/L
Practice Location Address:

505 CALDWELL LN
DUNBAR, WV
25064-2026

Practice Phone: 304-444-8466
Practice Fax:

1508152935 — AMY NICHOLE HUGHES APRN, BC
Practice Location Address:

501 CALDWELL LN
DUNBAR, WV
25064-2026

Practice Phone: 901-261-4848
Practice Fax: 901-261-4849

1013251867 — LORA E FINLAYSON MSCCC/SLP
Practice Location Address:

501 CALDWELL LN
DUNBAR, WV
25064-2026

Practice Phone: 304-744-7064
Practice Fax:

Directions to “501 CALDWELL LANE OPCO, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.