Active NPI
Raytown Opco LLC
Doing business as Trustwell Living of Raytown
- Assisted Living Facility
- Raytown, MO
National Provider Identifier
1245154590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2026
- 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
- Loretta Lebar, JD
- Title
- Counsel
- Phone
- (502) 419-2571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053790 | Other | MO | DEPARTMENT OF HEALTH AND SENIOR SERVICES |
Other names 1
- Trustwell Living of Raytown
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2089128 | Trustwell Living of Raytown | Certificate of waiver | Dec 18, 2026 |
National Provider Directory
National Provider DirectoryNPI 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
- Raytown Dental (Comfort Dental Raytown)
- Raytown Dental LLC (Comfort Dental Raytown)
- Raytown Dental PLLC
- Raytown Dentist, LLC
- Raytown Health Care LLC (Autumn Terrace Health & Rehabilitation)
- Raytown Road Healthcare LLC (Alpine Breeze Health and Wellness)
- Reaching Out
- Lawrence D Reed, OD
- Caroline Reid
- Renu Counseling Services LLC
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.