Four Seasons SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOUR SEASONS SNF OPCO LLC

Doing business as

Four Seasons Living Center

Practice address

2800 Highway TT
Sedalia, MO 65301-1410

Phone

(660) 826-8803

Fax

(660) 829-4487

NPI assigned

Jun 22, 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

• Four Seasons Living Center Doing business as

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1922934413",
    "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",
            "telephone_number": "314-543-3800",
            "fax_number": "314-543-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HIGHWAY TT",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653011410",
            "telephone_number": "660-826-8803",
            "fax_number": "660-829-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Seasons Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Keith Fletcher, PT, DPT, ATC
• Molly Foster, DMD
• Robert Stephen Foster, M.D.
• Four Seasons Living Center, LLC
• Four Seasons Living Center, LLC
• Philip J Fracica, M.D.
• Frankum Family Dentistry Lindell N Frankum D.D.S.,P.C. (Frankum Family Dentistry)
• Lindell Neal Frankum, D.D.S.
• Thelma Guadalupe Frankum, D.D.S.
• Joshua Charles Frates, PT

• Skilled Nursing Facility in Sedalia, MO
• Providers in Sedalia, 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 Jun 22, 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.