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

Mma Healthcare of Viburnum, Inc

Organization Skilled Nursing Facility · NPI 1366499196

Mma Healthcare of Viburnum, Inc is a Skilled Nursing Facility in Viburnum, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Highway Y
Viburnum, MO 65566-9701
Phone: (573) 244-3171
Fax: (573) 244-3112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 038104 (MO)
Skilled Nursing Facility Taxonomy 314000000X · Licence 032452 (MO)

Record details

NPI number1366499196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Destefane — President · (314) 543-3816
Other names Stonecrest Healthcare; Stonecrest Healthcare
NPI enumeratedMay 27, 2006
Last updated in NPPESNovember 8, 2019
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

Other providers in Viburnum