MISSOURI ONE OPCO LLC
NPI 1831057587
Skilled Nursing Facility in Saint Louis, MO
About Missouri One Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSOURI ONE OPCO LLC (NPI 1831057587), doing business as Fountain Care At Sunset Hills, is a healthcare organization registered as a skilled nursing facility in Saint Louis, Missouri and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Menachem Kofman, Manager, 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 26D0680332
Missouri One Opco LLC D/B/A Fountain Care At Sunset Hills · Saint Louis, MOOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Missouri One Opco LLC's NPI number?
The NPI number for Missouri One Opco LLC is 1831057587. It was assigned to this organization in the NPPES registry on January 12, 2026. The provider is doing business as Fountain Care at Sunset Hills.
Where is Missouri One Opco LLC located?
Missouri One Opco LLC is located at 10954 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 843-4242.
What is Missouri One Opco LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Missouri One Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0680332) is associated with this NPI, valid through April 27, 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 Missouri One Opco LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.