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

Portageville Health Care Center, LLC

Organization Skilled Nursing Facility · NPI 1912453986

Portageville Health Care Center, LLC is a Skilled Nursing Facility in Portageville, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
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

290 W State Highway 162
Portageville, MO 63873-9397
Phone: (573) 379-2017
Fax: (573) 379-2735
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 LC001502456 (MO)

Record details

NPI number1912453986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Destefane — President · (314) 543-3800
Other names Portageville Health Care Center
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 30, 2016
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

Other providers in Portageville