Fostoria Al Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FOSTORIA AL OPCO LLC

Practice address

1000 Independence Ave
Fostoria, OH 44830-9614

Phone

(419) 435-8505

Fax

(419) 435-0829

NPI assigned

Mar 4, 2026

Last updated

Mar 4, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas E Destefane

Title

President

Phone

(314) 543-3800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1184579104",
    "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",
            "fax_number": "314-226-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 INDEPENDENCE AVE",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448309614",
            "telephone_number": "419-435-8505",
            "fax_number": "419-435-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTORIA AL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emergency Physicians of Northwest Ohio, LLC
• Angela Etter, OTD, OTR/L
• Laura Marie Faine, OT
• Danielle Ferguson, BSW, LSW
• Adam Wesley Flugga
• Fostoria Alcohol/Drug Center
• Fostoria City Office of Auditor (Fostoria Fire Department)
• Fostoria City Schools
• Fostoria Community Hospital
• Fostoria Community Hospital

• Assisted Living Facility in Fostoria, OH
• Providers in Fostoria, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.