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

North Village Park SNF Opco LLC

Organization Skilled Nursing Facility · NPI 1295661700

North Village Park SNF Opco LLC is a Skilled Nursing Facility in Moberly, Missouri. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2026.

CMS rating
1 of 5
In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 265330)
Health inspection1.0 / 5
Staffing1.0 / 5
Quality measures2.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

2041 Silva Ln
Moberly, MO 65270-3658
Phone: (660) 269-7300
Fax: (660) 263-0751
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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 number1295661700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Destefane — President · (314) 543-3800
Other names North Village Park
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

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