OAK TREE VILLAS, INC
NPI 1851415905
Skilled Nursing Facility in Jefferson City, MO

Active since March 16, 2007
3801 WEST TRUMAN BLVD, JEFFERSON CITY, MO 65109(573) 893-3063 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Oak Tree Villas, Inc NPPES

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

OAK TREE VILLAS, INC (NPI 1851415905) is a healthcare organization registered as a skilled nursing facility in Jefferson City, Missouri and active in the NPI registry since March 2007. The organization lists Thomas G Otke, President, as its authorized official.

NPPES Registry Identity

NPI1851415905
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOAK TREE VILLAS, INC
Location Address3801 WEST TRUMAN BLVDJefferson City, MO 65109
Mailing Address3801 West Truman BlvdJefferson City, MO 65109 · (573) 893-3063
Organization SubpartNo
Authorized OfficialThomas G OtkePresident · (573) 659-6607
Enumeration DateMarch 16, 2007
Last NPPES UpdateMarch 20, 2008
NPI 1851415905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 035366
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

3801 WEST TRUMAN BLVD, Jefferson City, MO 65109

Other Identifiers 1

Medicare OSCAR/certification265819MO

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 26D0888728

Eldercare Of Mid- Missouri Viii, Inc Dba Stonebridge Oak Tree Villas · Jefferson City, MO
Expired · Jul 12, 2026
CLIA Number26D0888728
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 13, 2024
Certificate Expiration DateJuly 12, 2026
Laboratory DirectorDeanna Bokel
Laboratory Phone(573) 893-3063
Laboratory LocationEldercare Of Mid- Missouri Viii, Inc Dba Stonebridge Oak Tree Villas3108 West Truman Blvd, Jefferson City, MO 65109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851415905, enumerated as an "organization" on March 16, 2007.

The provider is located at 3801 WEST TRUMAN BLVD JEFFERSON CITY, MO 65109 and the phone number is (573) 893-3063.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.