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

Winghavenllc

Organization Assisted Living Facility · NPI 1962531079

Winghavenllc is an Assisted Living Facility in O Fallon, Missouri. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2002 Boardwalk Place Dr
O Fallon, MO 63368-3900
Phone: (636) 561-7275
Fax: (636) 561-5304
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1962531079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gammon — General Manager · (636) 625-2950
Other names Park Place
NPI enumeratedMarch 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2002 Boardwalk Place Dr, O Fallon, MO 63368-3900

Other providers in O Fallon