Active NPI
Festus Mo Opco LLC
- Skilled Nursing Facility
- Festus, MO
National Provider Identifier
1790404267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FESTUS MO OPCO LLC
- Practice address
- 627 Westwood Dr S
Festus, MO 63028-2062 - Phone
- (636) 931-9066
- NPI assigned
- Aug 26, 2022
- 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
- Dovid Insel
- Title
- Regional Director of Operations
- Phone
- (443) 742-8167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
627 Westwood Dr S
Festus, MO 63028-2062
Mailing address
9722 Groffs Mill Dr
Owings Mills, MD 21117-6341
Phone (443) 742-8167
Other names 1
- Festus Manor
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- De Soto, MO
- NPI 1548266737
-
- Family Medicine Physician
- Cedar Hill, MO
- NPI 1669735791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661472000000",
"number": "1790404267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9722 GROFFS MILL DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176341",
"telephone_number": "443-742-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 WESTWOOD DR S",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282062",
"telephone_number": "636-931-9066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FESTUS MO OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-22",
"status": "A",
"authorized_official_last_name": "INSEL",
"authorized_official_first_name": "DOVID",
"authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "443-742-8167"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Festus Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.