Pettis County Assisted Living, L.L.C.
NPI 1568821965ActiveOrganization· Assisted Living Facility· Sedalia, MO
Assisted Living Facility in Sedalia, Missouri, registered in NPPES in February 2016. The authorized official on file is Richard J. Destefane, President.
Overview
| NPI | 1568821965 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2016 |
| Last updated in NPPES | Feb 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Assisted Living Facility, Assisted Living, Mental Illness | 3104A0625X | — | — |
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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