Sunterra Independence Oc, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUNTERRA INDEPENDENCE OC, LLC

Practice address

19200 E 37TH Terrace S
Independence, MO 64057-8324

Phone

(816) 335-3007

Fax

(816) 335-3023

NPI assigned

Apr 11, 2017

Organization subpart

No

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

Authorized official

Name

Kelly Snowball

Title

Governing Body Chair

Phone

(801) 397-4000

Specialties & licenses 1

Addresses

Other names 1

• Sunterra Springs Independence Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265864

Legal name

SUNTERRA INDEPENDENCE OC LLC

Doing business as

SUNTERRA SPRINGS INDEPENDENCE

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Nov 17, 2017

Last certification

Feb 10, 2025

Beds

38

Ownership / control type

Limited Liability Corporation

Multi-facility organization

RMC ENTERPRISES LLC

Organization structure

LLC

Enrollment address

19200 E 37TH Terrace S
Independence, MO 64057-2323

Nursing home name

SUNTERRA SPRINGS INDEPENDENCE

Affiliated entity

SUNTERRA SPRINGS

Listed as

Sunterra Springs IndependenceCCN 265864

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare

Ownership

For profit - Limited Liability company

Certified

Nov 17, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3836.9 residents per day on average

Chain

Sunterra Springs4 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Malathi Tadakamalla, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lees Summit, MO
  • NPI 1316989197

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malathi Tadakamalla, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lees Summit, MO
  • NPI 1316989197
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Malathi Tadakamalla, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lees Summit, MO
  • NPI 1316989197

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1114451648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 W 900 S STE 220",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108195",
            "telephone_number": "801-397-4697",
            "fax_number": "801-293-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 E 37TH TERRACE S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578324",
            "telephone_number": "816-335-3007",
            "fax_number": "816-335-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTERRA INDEPENDENCE OC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "SNOWBALL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "GOVERNING BODY CHAIR",
        "authorized_official_telephone_number": "801-397-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DSM@rockymountaincare.brightreedirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19200 E 37th Terrace S",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640578324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sunterra Springs Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Independence, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.