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

Fostoria SNF Opco LLC

Organization Skilled Nursing Facility · NPI 1619846904

Fostoria SNF Opco LLC is a Skilled Nursing Facility in Fostoria, Ohio. Registered with an NPI since 2025.

In the registry since
2025
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

1000 Independence Ave
Fostoria, OH 44830-9614
Phone: (419) 435-8505
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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 number1619846904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Destefane — President · (314) 543-3800
Other names The Independence House Of Fostoria
NPI enumeratedNovember 4, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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