OrganizationActive
Winghavenllc
NPI 1962531079 · Assisted Living Facility · O Fallon, MO
Winghavenllc is a Assisted Living Facility organization in O Fallon, MO (NPI 1962531079).
Provider details
- NPI number
- 1962531079
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Gammon, General Manager(636) 625-2950
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2002 Boardwalk Place Dr
O Fallon, MO 63368-3900
Phone: (636) 561-7275
Fax: (636) 561-5304
Street-level locationGet directions
Mailing address
2002 Boardwalk Place Dr
O Fallon, MO 63368-3900
Other names (DBA / former)
- Doing business as
- Park Place
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Winghavenllc's NPI number?
- Winghavenllc's National Provider Identifier (NPI) is 1962531079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Winghavenllc?
- Winghavenllc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Winghavenllc located?
- Winghavenllc's practice location on file with NPPES is 2002 Boardwalk Place Dr, O Fallon, MO 63368-3900.
- What is Winghavenllc's phone number?
- The practice phone number listed in the NPPES registry for Winghavenllc is (636) 561-7275.
- Who is the authorized official for Winghavenllc?
- The authorized official listed on Winghavenllc's NPPES record is John Gammon, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Winghavenllc's NPI active?
- Yes — Winghavenllc's NPI (1962531079) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.