Cedargate Opco LLC
NPI 1053247627ActiveOrganization· Skilled Nursing Facility· Poplar Bluff, MO
Skilled Nursing Facility in Poplar Bluff, Missouri, registered in NPPES in June 2026. The authorized official on file is Nicholas Destefane, President.
Overview
| NPI | 1053247627 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2026 |
| Last updated in NPPES | Jun 22, 2026 |
| Certified by provider | Jun 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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