Woodstock SNF Opco LLC

Key facts

NPI

1033044516

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

Legal business name

WOODSTOCK SNF OPCO LLC

Practice address

1649 Park Rd
Woodstock, OH 43084-9713

Phone

(937) 826-3351

NPI assigned

Jun 16, 2026

Organization subpart

No

Authorized official

Name

Nicholas Destefane

Title

President

Phone

(314) 543-3800

National Provider Directory

Specialties & licenses

Addresses

Other names

• Woodstock Health Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2026.

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1033044516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 PARK RD",
            "city": "WOODSTOCK",
            "state": "OH",
            "postal_code": "430849713",
            "telephone_number": "937-826-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodstock Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, OH

• Downsize Farm, LTD
• Spring Meadow Healthcare LLC
• Teresa Thornhill
• Woodstock Care Center, Inc.
• Woodstock Healthcare Group, Inc.

All providers in Woodstock, OH · Skilled Nursing Facility in Ohio