Active NPI
Nevada Health Care Center, L.L.C.
Doing business as Nevada Health Care Center
- Skilled Nursing Facility
- Nevada, MO
National Provider Identifier
1043832355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NEVADA HEALTH CARE CENTER, L.L.C.
- Doing business as
- Nevada Health Care Center
- Practice address
- 700 E Highland Ave
Nevada, MO 64772-1025 - Phone
- (417) 667-8889
- NPI assigned
- May 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard J. Destefane
- Title
- President
- Phone
- (314) 543-3816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
700 E Highland Ave
Nevada, MO 64772-1025
Mailing address
1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3816
Other names 1
- Nevada Health Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588896000000",
"number": "1043832355",
"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",
"telephone_number": "314-543-3816",
"fax_number": "314-226-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E HIGHLAND AVE",
"city": "NEVADA",
"state": "MO",
"postal_code": "647721025",
"telephone_number": "417-667-8889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVADA HEALTH CARE CENTER, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-08",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A",
"authorized_official_last_name": "DESTEFANE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-543-3816",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevada Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nevada, MO
- Nevada City Nursing Home (Paul L & Martha Barone Care Center)
- Nevada City Nursing Home (Moore-Few Care Center)
- Nevada Dialysis
- Nevada Extended Living
- Nevada Family Dentistry LLC
- Nevada Health Care Services, Inc. (Joe Clark Residential Care Home)
- Nevada Imaging Inc
- Nevada Internal Medicine, Inc
- Nevada Medical Clinic L.L.C.
- Nevada Medical Clinic L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.