Stonecrest SNF Opco LLC
Organization Active NPI Skilled Nursing Facility · Viburnum, MO
NPI 1225964752 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1225964752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- STONECREST SNF OPCO LLC
- Practice address
- 2 Highway Y
Viburnum, MO 65566-8644 - Phone
- (573) 244-3171
- Fax
- (573) 244-3112
- NPI assigned
- Jun 22, 2026
- Organization subpart
- No
Authorized official
- Name
- Nicholas Destefane
- Title
- President
- Phone
- (314) 543-3800
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
2 Highway Y
Viburnum, MO 65566-8644
Mailing address
1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3800
Other names
- Stonecrest Healthcare
Other providers in Viburnum, MO
- Mma Healthcare of Viburnum, Inc.
- Theodore Joshua Olbricht
- Deana Payne
- Linda Sue Pyatt
- Vanessa R Roper
All providers in Viburnum, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.