Organization Active NPI

Centerpoint Medical Center of Independence LLC

  • Skilled Nursing Facility
  • Independence, MO
National Provider Identifier
1003853060
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CENTERPOINT MEDICAL CENTER OF INDEPENDENCE LLC
Practice address
19600 E 39TH St S
Independence, MO 64057-2301
Phone
(816) 836-8100
Fax
(816) 836-6603
NPI assigned
May 31, 2006
Reactivated
Nov 29, 2017
Organization subpart
Yes
Parent organization
CENTERPOINT MEDICAL CENTER OF INDEPENDENCE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James H. Brown
Title
Cfo
Phone
(816) 698-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

19600 E 39TH St S
Independence, MO 64057-2301

Mailing address

19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 836-8100

Other names 1

  • Centerpoint Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Independence Reg HLTH C4 organizations share this tax ID, including this one
Part of
Independence Reg HLTH C

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1003853060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "816-836-8100",
            "fax_number": "816-836-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "816-836-8100",
            "fax_number": "816-836-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINT MEDICAL CENTER OF INDEPENDENCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERPOINT MEDICAL CENTER OF INDEPENDENCE LLC",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-02-05",
        "deactivation_date": "2007-04-06",
        "reactivation_date": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-698-7001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerpoint Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.