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

Otke-Villa LLC

Organization Skilled Nursing Facility · NPI 1730131897

Otke-Villa LLC is a Skilled Nursing Facility in Jefferson City, Missouri. Medicare rates this nursing home 1 out of 5. Licensed in Missouri.

CMS rating
1 of 5
Licensed in
MO
In the registry since
2006
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 265208)
Health inspection3.0 / 5
Staffing1.0 / 5
Quality measures1.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

1030 Edmonds St
Jefferson City, MO 65109-5213
Phone: (573) 635-3381
Fax: (573) 635-6685
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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 · Licence 032359 (MO)

Record details

NPI number1730131897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Otke — Member · (573) 659-6607
NPI enumeratedMay 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1030 Edmonds St, Jefferson City, MO 65109-5213

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