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Otke-Villa LLC

Skilled Nursing Facility in Jefferson City, MO · enumerated 2006 · authorized official Tom Otke, Member.

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

National Provider Identifier

1730131897

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Registry record

Entity type Organization (Type 2)
Legal business name Otke-Villa LLC
Practice address 1030 Edmonds St, Jefferson City, MO, 65109
Phone (573) 635-3381
Fax (573) 635-6685
Enumeration date May 17, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 032359 (MO) Primary

Authorized official

Name Tom Otke
Title Member
Phone (573) 659-6607

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.

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Frequently asked questions

Who is the authorized official for Otke-Villa LLC?
NPPES lists Tom Otke (Member) as the authorized official for this organization.
What is the NPI number for Otke-Villa LLC?
The NPI for Otke-Villa LLC is 1730131897, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.