Flushing SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FLUSHING SNF OPCO LLC

Practice address

540 Sunnyside Dr
Flushing, MI 48433-1474

Phone

(810) 659-5695

NPI assigned

Jun 29, 2026

Last updated

Jun 29, 2026By 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

Nicholas Destefane

Title

President

Phone

(314) 543-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1992621338",
    "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": "540 SUNNYSIDE DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331474",
            "telephone_number": "810-659-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "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": []
}

• Flushing Opco LLC
• Flushing Optical Inc
• Flushing Optical Services Inc. (Flushing Optical)
• Flushing Pediatrics PC
• Flushing Rehabilitation Center PC
• Flushing SNF Operations LLC
• Flushing Urgent Care PC
• Flushing Urgent Care PLC (Convenient Urgent Care)
• Flushing Vision Clinic PC
• Howard Foote, O.D.

• Skilled Nursing Facility in Flushing, MI
• Providers in Flushing, MI by specialty
• Skilled Nursing Facility in Michigan

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