Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edgewood Manor Health Care Center, LLC

Organization Skilled Nursing Facility · NPI 1467072280

Edgewood Manor Health Care Center, LLC is a Skilled Nursing Facility in Raytown, Missouri. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11900 Jessica Ln
Raytown, MO 64138-2649
Phone: (816) 358-7858
Fax: (816) 356-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1467072280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Destefane — President · (314) 543-3816
Other names Edgewood Manor Health Care Center
NPI enumeratedApril 22, 2020
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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