Opco Farmington, Mo, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OPCO FARMINGTON, MO, LLC

Practice address

705 Grand Canyon Dr
Farmington, MO 63640-2161

Phone

(573) 756-8911

NPI assigned

Mar 7, 2018

Last updated

Oct 29, 2024By 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

Isaac Dole

Title

Manager

Phone

(736) 459-2467

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1760984587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B34572",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "736-459-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GRAND CANYON DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402161",
            "telephone_number": "573-756-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCO FARMINGTON, MO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "736-459-2467"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber O'Neal
• Laura Oder
• Katie Odom, NP
• Clarice Ogden
• George Allen Oliver, M.D.
• Orr Medical Enterprises, Inc
• Stephen W Orr, D.C.
• Lauren Elizabeth Ostler, MD
• Rebecca Josephine Ott, RN, MSN
• Adam Paul Overcast, D.O.

• Skilled Nursing Facility in Farmington, MO
• Providers in Farmington, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.