Pettis County Assisted Living, L.L.C.
NPI 1568821965 · Assisted Living Facility · Sedalia, MO
Pettis County Assisted Living, L.L.C. is a Assisted Living Facility organization in Sedalia, MO (NPI 1568821965).
Provider details
- NPI number
- 1568821965
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Destefane, President(314) 543-3800
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2016-02-15
- Last updated
- 2016-02-15
Frequently asked questions
- What is Pettis County Assisted Living, L.L.C.'s NPI number?
- Pettis County Assisted Living, L.L.C.'s National Provider Identifier (NPI) is 1568821965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pettis County Assisted Living, L.L.C.?
- Pettis County Assisted Living, L.L.C. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Pettis County Assisted Living, L.L.C. located?
- Pettis County Assisted Living, L.L.C.'s practice location on file with NPPES is 3017 Brooking Park Ave, Sedalia, MO 65301-9327.
- What is Pettis County Assisted Living, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Pettis County Assisted Living, L.L.C. is (660) 827-3222.
- Who is the authorized official for Pettis County Assisted Living, L.L.C.?
- The authorized official listed on Pettis County Assisted Living, L.L.C.'s NPPES record is Richard Destefane, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pettis County Assisted Living, L.L.C.'s NPI active?
- Yes — Pettis County Assisted Living, L.L.C.'s NPI (1568821965) is active in the NPPES registry as of the last update on 2016-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.