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WAPAKONETA OPCO LLC
NPI 1609701184
Assisted Living Facility in Wapakoneta, OH

Active since June 16, 2026CLIA 36D2195759 · Waiver
505 WALNUT ST, WAPAKONETA, OH 45895(419) 738-9210 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Wapakoneta Opco Llc NPPES

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

WAPAKONETA OPCO LLC (NPI 1609701184), doing business as Wapakoneta Health Care Center, is a healthcare organization registered as an assisted living facility in Wapakoneta, Ohio and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Nicholas Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1609701184
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWAPAKONETA OPCO LLC
Location Address505 WALNUT STWapakoneta, OH 45895-1868
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122
Phone(419) 738-9210
Organization SubpartNo
Authorized OfficialNicholas DestefanePresident · (314) 543-3800
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1609701184 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.
505 WALNUT ST, Wapakoneta, OH 45895
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Other Names 1

Doing Business AsWapakoneta Health Care Center

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 36D2195759

Wapakoneta Health Care Center · Wapakoneta, OH
Active · expires Oct 12, 2026
CLIA Number36D2195759
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorBrooke Buroker
Laboratory Phone(419) 738-9210
Laboratory LocationWapakoneta Health Care Center505 Walnut Street, Wapakoneta, OH 45895
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MAJESTIC CARE OF WAPAKONETA LLC
Assisted Living Facility
505 WALNUT ST
WAPAKONETA, OH 45895
Auglaize County (419) 738-0725
TIFFANY HERRON CNP
Registered Nurse (General Practice)
505 WALNUT ST
WAPAKONETA, OH 45895
Auglaize County (419) 738-0725
GARDENS A WAPAKONETA OPERATING COMPANY LLC
Assisted Living Facility
505 WALNUT ST
WAPAKONETA, OH 45895
Auglaize County (419) 738-9210
HEALTHCARE VENTURES OF OHIO, LLC
Assisted Living Facility
505 WALNUT ST
WAPAKONETA, OH 45895
Auglaize County (419) 738-0725

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 Wapakoneta Opco LLC's NPI number?

The NPI number for Wapakoneta Opco LLC is 1609701184. It was assigned to this organization in the NPPES registry on June 16, 2026. The provider is doing business as Wapakoneta Health Care Center.

Where is Wapakoneta Opco LLC located?

Wapakoneta Opco LLC is located at 505 Walnut St, Wapakoneta, OH 45895. The listed phone number is (419) 738-9210.

What is Wapakoneta Opco LLC's specialty?

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

Does Wapakoneta Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2195759) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wapakoneta Opco LLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.