Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Edgewood Manor Health Care Center, LLC

Organization Skilled Nursing Facility · NPI 1467072280

Edgewood Manor Health Care Center, LLC is a Skilled Nursing Facility in Raytown, Missouri. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2020.

CMS rating
1 of 5
In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 265425)
Health inspection1.0 / 5
Staffing1.0 / 5
Quality measures3.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

11900 Jessica Ln
Raytown, MO 64138-2649
Phone: (816) 358-7858
Fax: (816) 356-7775
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1467072280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Destefane — President · (314) 543-3816
Other names Edgewood Manor Health Care Center
NPI enumeratedApril 22, 2020
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020
Mailing address1869 Craig Park Ct, Saint Louis, MO 63146-4122

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Raytown