Cedargate Health Care Center, LLC
NPI 1922998988ActiveOrganization· Skilled Nursing Facility· Poplar Bluff, MO
Skilled Nursing Facility in Poplar Bluff, Missouri, registered in NPPES in July 2025. The authorized official on file is Richard J. Destefane, President. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1922998988 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2025 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Alzheimer Center (Dementia Center) | 311500000X | — | — |
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) |
|---|
Other Skilled Nursing Facility providers in Poplar Bluff
- 1518713460
- 1740684851
- 1053247627
- 1609864081
- 1790805018
- 1134115470
- 1558359760
- 1750313722