Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pettis County Assisted Living, L.L.C.

Assisted Living Facility in Sedalia, MO · enumerated 2016 · authorized official Richard Destefane, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568821965

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Registry record

Entity type Organization (Type 2)

Legal business name Pettis County Assisted Living, L.L.C.

Practice address 3017 Brooking Park Ave, Sedalia, MO, 65301

Phone (660) 827-3222

Fax (660) 829-2217

Enumeration date Feb 15, 2016

Last updated in NPPES Feb 15, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities Secondary

Authorized official

Name Richard Destefane

Title President

Phone (314) 543-3800

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-02-15. Verify at npiregistry.cms.hhs.gov.

Where is Pettis County Assisted Living, L.L.C. located?

The practice location on file with NPPES is in Sedalia, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-15.