Mount Vernon Al Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOUNT VERNON AL OPCO LLC

Practice address

1135 Gambier Rd
Mount Vernon, OH 43050-3839

Phone

(740) 392-1599

NPI assigned

Jun 15, 2026

Organization subpart

No

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

Authorized official

Name

Nicholas Destefane

Title

President

Phone

(314) 543-3800

Specialties & licenses 1

Addresses

Other names 1

• Mount Vernon Assisted Living Doing business as

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1386579167",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 GAMBIER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503839",
            "telephone_number": "740-392-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON AL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Morrison, APRN
• John G Morrison, QMHS
• Lisa Morrison, LPCC
• Kelly Mosholder
• Moundbuilders Guidance Center, Inc.
• Mount Vernon City Schools
• Mount Vernon Dental-Richard M. Sprang, DDS, LLC
• Mount Vernon Developmental Center
• Mount Vernon Elderly Services LLC
• Mount Vernon Elderly Services LLC

• Assisted Living Facility in Mount Vernon, OH
• Providers in Mount Vernon, 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 Jun 15, 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.