Villages of Jackson Creek Memory Care LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

VILLAGES OF JACKSON CREEK MEMORY CARE LLC

Doing business as

The Villages of Jackson Creek Memory Care

Practice address

19400 E 40TH St CT
Independence, MO 64057-1548

Phone

(816) 795-1433

NPI assigned

Jan 23, 2014

Organization subpart

Yes

Parent organization

NATIONAL HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Melvin J Rector

Title

Manager of LLC

Phone

(636) 946-3677

Specialties & licenses 1

Addresses

Other names 1

• The Villages of Jackson Creek Memory Care Doing business as

Part of

National Healthcare Corporation

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1205259512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19400 E 40TH ST CT",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19400 E 40TH ST CT",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571548",
            "telephone_number": "816-795-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGES OF JACKSON CREEK MEMORY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE CORPORATION",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "RECTOR",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER OF LLC",
        "authorized_official_telephone_number": "636-946-3677"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villages of Jackson Creek Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne M Verhoff, PLPC
• Haley Vest
• Noel Vickery, LCSW
• Alecia Vigil
• Villages of Jackson Creek LLC
• Lynette D Vinson, MS CCC SLP
• Visionworks Inc
• Visionworks, Inc.
• Bridget J Vitali, MA, PLPC
• Vitalmedix Supplies LLC

• Alzheimer Center (Dementia Center) in Independence, MO
• Providers in Independence, MO by specialty
• Alzheimer Center (Dementia Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.