Rockford Al Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROCKFORD AL OPCO LLC

Doing business as

Rockford Assisted Living

Practice address

10731 State Route 118
Rockford, OH 45882-8947

Phone

(419) 363-2620

NPI assigned

Jun 16, 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

• Rockford Assisted Living Doing business as

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1982539490",
    "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": "10731 STATE ROUTE 118",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458828947",
            "telephone_number": "419-363-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD AL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "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": "Rockford Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Ashley Hunter, NURSE PRACTITIONER
• Shelby Elizabeth Linn, NP
• Tara May, COTA/L
• Diane Otten
• Parkway Local Schools
• Rockford Healthcare Group, Inc.
• Rockford Opco LLC
• Lisa Renee Rolfes, RN, NP
• Jerry D Sell, M.D.
• Shane Hill Divine Opco LLC

• Assisted Living Facility in Rockford, OH
• Providers in Rockford, 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 16, 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.