| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1275626855 | LAVERNA VILLAGE NURSING HOME INC. | PO BOX 279 | SAVANNAH | MO | 644850279 | |||
| 1578039467 | LAVERNA SENIOR LIVING LLC | 3225 EMERALD LN STE B | JEFFERSON CITY | MO | 651096869 | |||
| 1942362249 | PHLV, LLC | 7444 LONG AVE | SKOKIE | IL | 600773214 |