Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CEDARGATE OPCO LLC
NPI 1053247627
Skilled Nursing Facility in Poplar Bluff, MO

Active since June 22, 2026
2350 KANELL BLVD, POPLAR BLUFF, MO 63901(573) 785-0188(573) 785-7321 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedargate Opco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDARGATE OPCO LLC (NPI 1053247627), doing business as Cedargate Health Care Center, is a healthcare organization registered as a skilled nursing facility in Poplar Bluff, Missouri and active in the NPI registry since June 2026. The organization lists Nicholas Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1053247627
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCEDARGATE OPCO LLC
Location Address2350 KANELL BLVDPoplar Bluff, MO 63901-4036
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122 · (314) 543-3800 · Fax (314) 543-3800
Fax(573) 785-7321
Organization SubpartNo
Authorized OfficialNicholas DestefanePresident · (314) 543-3800
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1053247627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2350 KANELL BLVD, Poplar Bluff, MO 63901

Other Names 1

Doing Business AsCedargate Health Care Center

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Physical Therapy Assistant
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Occupational Therapy Assistant (Environmental Modification)
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Assisted Living Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Skilled Nursing Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Skilled Nursing Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Skilled Nursing Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Physical Therapy Assistant
2350 KANELL BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedargate Opco LLC's NPI number?

The NPI number for Cedargate Opco LLC is 1053247627. It was assigned to this organization in the NPPES registry on June 22, 2026. The provider is doing business as Cedargate Health Care Center.

Where is Cedargate Opco LLC located?

Cedargate Opco LLC is located at 2350 Kanell Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 785-0188.

What is Cedargate Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Cedargate Opco LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.