Organization · Type 2 NPI

Cedargate Opco LLC

Skilled Nursing Facility · Poplar Bluff, MO

NPI number 1053247627 Active

Practice location

2350 Kanell Blvd
Poplar Bluff, MO 63901-4036

Call (573) 785-0188 Map

Fax (573) 785-7321

Mailing address

1869 Craig Park Ct
St. Louis, MO 63146-4122

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1053247627

Cedargate Opco LLC's National Provider Identifier is 1053247627, issued on Jun 22, 2026. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jun 22, 2026.