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MOUNT VERNON AL OPCO LLC
NPI 1386579167
Assisted Living Facility in Mount Vernon, OH

Active since June 15, 2026CLIA 36D2163479 · Waiver
1135 GAMBIER RD, MOUNT VERNON, OH 43050(740) 392-1599 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mount Vernon Al Opco Llc NPPES

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

MOUNT VERNON AL OPCO LLC (NPI 1386579167), doing business as Mount Vernon Assisted Living, is a healthcare organization registered as an assisted living facility in Mount Vernon, Ohio and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Nicholas Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1386579167
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMOUNT VERNON AL OPCO LLC
Location Address1135 GAMBIER RDMount Vernon, OH 43050-3839
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122
Phone(740) 392-1599
Organization SubpartNo
Authorized OfficialNicholas DestefanePresident · (314) 543-3800
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1386579167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1135 GAMBIER RD, Mount Vernon, OH 43050
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Other Names 1

Doing Business AsMount Vernon Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2163479

Als Mount Vernon, Inc Dba Mount Vernon Health And Rehab · Mount Vernon, OH
Active · expires Mar 13, 2027
CLIA Number36D2163479
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorScottie P. Powell
Laboratory Phone(740) 392-1599
Laboratory LocationAls Mount Vernon, Inc Dba Mount Vernon Health And Rehab1135 Gambier Road, Mount Vernon, OH 43050
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ALS MOUNT VERNON INC
Clinic/Center (Physical Therapy)
1135 GAMBIER RD
MOUNT VERNON, OH 43050
Knox County (740) 415-1138
ALS MOUNT VERNON LLC
Skilled Nursing Facility
1135 GAMBIER RD
MOUNT VERNON, OH 43050
Knox County (740) 392-1099
MOUNT VERNON OPCO LLC
Skilled Nursing Facility
1135 GAMBIER RD
MOUNT VERNON, OH 43050
Knox County (740) 392-1599

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 Mount Vernon Al Opco LLC's NPI number?

The NPI number for Mount Vernon Al Opco LLC is 1386579167. It was assigned to this organization in the NPPES registry on June 15, 2026. The provider is doing business as Mount Vernon Assisted Living.

Where is Mount Vernon Al Opco LLC located?

Mount Vernon Al Opco LLC is located at 1135 Gambier Rd, Mount Vernon, OH 43050. The listed phone number is (740) 392-1599.

What is Mount Vernon Al Opco LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mount Vernon Al Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2163479) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mount Vernon Al Opco LLC was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.