1. Home
  2. Directory
  3. Missouri
  4. Poplar Bluff
  5. Assisted Living Facility
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CEDARGATE AL OPCO LLC
NPI 1730005943
Assisted Living Facility in Poplar Bluff, MO

Active since June 24, 2026
2350 KANELL BLVD, POPLAR BLUFF, MO 63901(573) 785-0188(573) 785-7321 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedargate Al Opco Llc NPPES

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

CEDARGATE AL OPCO LLC (NPI 1730005943) is a healthcare organization registered as an assisted living 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

NPI1730005943
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCEDARGATE AL 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
Phone(573) 785-0188
Fax(573) 785-7321
Organization SubpartNo
Authorized OfficialNicholas DestefanePresident · (314) 543-3800
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1730005943 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.
2350 KANELL BLVD, Poplar Bluff, MO 63901
Open in Google Maps ↗

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.

CEDARGATE OPCO LLC
Skilled Nursing Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-0188
CEDARGATE HEALTH CARE CENTER, L.L.C.
Assisted Living Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-0188
ANGELA L. GREGORY PTA
Physical Therapy Assistant
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-9348
KATRINA CASANDRA DUNCAN COTA/L
Occupational Therapy Assistant (Environmental Modification)
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-0188
CEDARGATE HEALTHCARE GROUP, LLC
Skilled Nursing Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-0188
MIDWEST HEALTH CARE, LLC
Skilled Nursing Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-0188
CEDARGATE HEALTH CARE CENTER, LLC
Skilled Nursing Facility
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-0188
TERRA MARTIN
Physical Therapy Assistant
2350 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-0188

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 Al Opco LLC's NPI number?

The NPI number for Cedargate Al Opco LLC is 1730005943. It was assigned to this organization in the NPPES registry on June 24, 2026.

Where is Cedargate Al Opco LLC located?

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

What is Cedargate Al Opco LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Cedargate Al Opco LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.