Organization Active NPI

Raytown Opco LLC

Doing business as Trustwell Living of Raytown

  • Assisted Living Facility
  • Raytown, MO
National Provider Identifier
1245154590
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RAYTOWN OPCO LLC
Doing business as
Trustwell Living of Raytown
Practice address
9110 E 63Rd St
Raytown, MO 64133-4804
Phone
(636) 981-6744
NPI assigned
Aug 8, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Loretta Lebar, JD
Title
Counsel
Phone
(502) 419-2571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9110 E 63Rd St
Raytown, MO 64133-4804

Mailing address

9110 E 63Rd St
Raytown, MO 64133-4804
Phone (636) 981-6744

Other identifiers 1

IdentifierTypeStateIssuer
053790OtherMODEPARTMENT OF HEALTH AND SENIOR SERVICES

Other names 1

  • Trustwell Living of Raytown Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2089128Trustwell Living of Raytown9110 E 63Rd Street, Raytown, MO 64133Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1245154590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 E 63RD ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334804",
            "telephone_number": "636-981-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 E 63RD ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334804",
            "telephone_number": "636-981-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYTOWN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "LEBAR",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "COUNSEL",
        "authorized_official_telephone_number": "502-419-2571",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND SENIOR SERVICES",
            "identifier": "053790",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trustwell Living of Raytown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.