ODESSA HEALTH CARE CENTER, L.L.C.
NPI 1942019559
Skilled Nursing Facility in Odessa, MO

Active since January 07, 2025CLIA 26D0688525 · Waiver
609 GOLF ST, ODESSA, MO 64076(816) 230-7530(816) 633-7661 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Odessa Health Care Center, L.l.c. NPPES

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

ODESSA HEALTH CARE CENTER, L.L.C. (NPI 1942019559), doing business as Odessa Health Care Center, is a healthcare organization registered as a skilled nursing facility in Odessa, Missouri and active in the NPI registry since January 2025. 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

NPI1942019559
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameODESSA HEALTH CARE CENTER, L.L.C.
Location Address609 GOLF STOdessa, MO 64076-1462
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122 · (314) 543-3816 · Fax (314) 226-1736
Fax(816) 633-7661
Organization SubpartNo
Authorized OfficialRichard J. DestefanePresident · (314) 422-7910
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
NPI 1942019559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
609 GOLF ST, Odessa, MO 64076

Other Names 1

Doing Business AsOdessa 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 26D0688525

Odessa Health Care Center, LLC · Odessa, MO
Active · expires Aug 31, 2026
CLIA Number26D0688525
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKathleen Simpson
Laboratory Phone(816) 230-7530
Laboratory LocationOdessa Health Care Center, LLC609 Golf Street, Odessa, MO 64076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
609 GOLF ST, BOX 37
ODESSA, MO 64076
Skilled Nursing Facility
609 GOLF ST
ODESSA, MO 64076
Occupational Therapist
609 GOLF ST
ODESSA, MO 64076
Skilled Nursing Facility
609 GOLF ST
ODESSA, MO 64076
Skilled Nursing Facility
609 GOLF ST
ODESSA, MO 64076

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 Odessa Health Care Center, L.L.C.'s NPI number?

The NPI number for Odessa Health Care Center, L.L.C. is 1942019559. It was assigned to this organization in the NPPES registry on January 7, 2025. The provider is doing business as Odessa Health Care Center.

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

Odessa Health Care Center, L.L.C. is located at 609 Golf St, Odessa, MO 64076. The listed phone number is (816) 230-7530.

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

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

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

Yes. A Certificate of Waiver (number 26D0688525) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Odessa Health Care Center, L.L.C. was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.