OrganizationActive
Fostoria Al Opco LLC
NPI 1184579104 · Assisted Living Facility · Fostoria, OH
Provider details
- NPI number
- 1184579104
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Destefane, President(314) 543-3800
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Independence Ave
Fostoria, OH 44830-9614
Phone: (419) 435-8505
Fax: (419) 435-0829
Street-level locationGet directions
Mailing address
1869 Craig Park Ct
Saint Louis, MO 63146-4122
Registry dates
- Enumerated
- 2026-03-04
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.