PORTAGEVILLE SNF OPCO LLC
NPI 1821924341
Skilled Nursing Facility in Portageville, MO
About Portageville Snf Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTAGEVILLE SNF OPCO LLC (NPI 1821924341), doing business as Portageville Health Care Center, is a healthcare organization registered as a skilled nursing facility in Portageville, Missouri and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Nicholas Destefane, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 26D0673298
Portageville Health Care Center · Portageville, MOOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTAGEVILLE, MO 63873
PORTAGEVILLE, MO 63873
PORTAGEVILLE, MO 63873
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 Portageville Snf Opco LLC's NPI number?
The NPI number for Portageville Snf Opco LLC is 1821924341. It was assigned to this organization in the NPPES registry on June 22, 2026. The provider is doing business as Portageville Health Care Center.
Where is Portageville Snf Opco LLC located?
Portageville Snf Opco LLC is located at 290 W State Highway 162, Portageville, MO 63873. The listed phone number is (573) 379-2017.
What is Portageville Snf Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Portageville Snf Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0673298) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Portageville Snf 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 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.