PH
PORTAGEVILLE HEALTH CARE CENTER, L.L.C.
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
PORTAGEVILLE, MO
Licensed since
2016
Rate
—
Federal compliance record
Total fines$240,603
Payment denials / penalties2
Abuse flagNone on record
Federal identifiers
NPI registry number1912453986
CMS Certification Number (CCN)265549
Agency details
Avg residents / day58.1
OwnershipFor profit - Corporation
Chain affiliationRELIANT CARE MANAGEMENT
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameRICHARD DESTEFANE
TitlePRESIDENT
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