Portageville Health Care Center, L.L.C.
NPI 1912453986ActiveOrganization· Skilled Nursing Facility· Portageville, MO
Skilled Nursing Facility in Portageville, Missouri, registered in NPPES in August 2016. The authorized official on file is Richard J. Destefane, President. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1912453986 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2016 |
| Last updated in NPPES | Aug 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | LC001502456 | MO |
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) | Enrolled Part A Provider - Skilled Nursing Facility (MO) |
|---|
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