PORTAGEVILLE HEALTH CARE CENTER
NPI 1912453986
Skilled Nursing Facility in Portageville, MO

Active since August 30, 2016CLIA 26D0673298 · Waiver
1/5
Overall Rating
290 W STATE HIGHWAY 162, PORTAGEVILLE, MO 63873(573) 379-2017(573) 379-2735 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portageville Health Care Center NPPES

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

PORTAGEVILLE HEALTH CARE CENTER (NPI 1912453986) is a healthcare organization registered as a skilled nursing facility in Portageville, Missouri and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard J. Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1912453986
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePORTAGEVILLE HEALTH CARE CENTER, L.L.C.
Location Address290 W STATE HIGHWAY 162Portageville, MO 63873-9397
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122 · (314) 543-3816 · Fax (314) 543-3880
Fax(573) 379-2735
Organization SubpartNo
Authorized OfficialRichard J. DestefanePresident · (314) 543-3800
Enumeration DateAugust 30, 2016
NPI 1912453986 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 · LC001502456
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.
290 W STATE HIGHWAY 162, Portageville, MO 63873

Other Names 1

Doing Business AsPortageville 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 26D0673298

Portageville Health Care Center · Portageville, MO
Active · expires Aug 31, 2026
CLIA Number26D0673298
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorClyde Destefane
Laboratory Phone(314) 543-3816
Laboratory LocationPortageville Health Care Center290 West Highway 162, Portageville, MO 63873
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Portageville Health Care Center (CMS certification number 265549), from CMS Care Compare.

Portageville Health Care Center

Nursing home · Portageville, MO
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number265549
Certified Beds60 beds55 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 1993
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
51.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
0
Fines
2 totaling $438,730.00
Medicare Payment Denials
1
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

Skilled Nursing Facility
290 W STATE HIGHWAY 162
PORTAGEVILLE, MO 63873
Skilled Nursing Facility
290 W STATE HIGHWAY 162
PORTAGEVILLE, MO 63873
Skilled Nursing Facility
290 W STATE HIGHWAY 162
PORTAGEVILLE, MO 63873
Skilled Nursing Facility
290 W STATE HIGHWAY 162
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 Health Care Center, L.L.C.'s NPI number?

The NPI number for Portageville Health Care Center, L.L.C. is 1912453986. It was assigned to this organization in the NPPES registry on August 30, 2016. The provider is doing business as Portageville Health Care Center.

Where is Portageville Health Care Center, L.L.C. located?

Portageville Health Care Center, L.L.C. is located at 290 W State Highway 162, Portageville, MO 63873. The listed phone number is (573) 379-2017.

What is Portageville Health Care Center, L.L.C.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Portageville Health Care Center, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0673298) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Portageville Health Care Center, L.L.C. a Medicare-certified nursing home?

Yes. Portageville Health Care Center is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Portageville Health Care Center, L.L.C. have?

CMS rates Portageville Health Care Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Portageville Health Care Center, L.L.C. was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.