Independence Mo Consulting LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INDEPENDENCE MO CONSULTING LLC

Doing business as

Polaris Health & Wellness of Independence

Practice address

1800 S Swope Dr
Independence, MO 64057-1084

Phone

(816) 257-2566

NPI assigned

Jan 19, 2022

Last updated

Sep 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Goldner

Title

Authorized Person

Phone

(516) 727-1634

Specialties & licenses 1

Addresses

Other names 1

• Polaris Health & Wellness of Independence Doing business as

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1245982446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CHESTNUT ST STE 102",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162223",
            "telephone_number": "516-727-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S SWOPE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571084",
            "telephone_number": "816-257-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE MO CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "516-727-1634"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Health & Wellness of Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independence Healthcare LLC (Abode Health and Wellness Center)
• Independence II Operations, LLC (The Villages of Jackson Creek Memory Care)
• Independence Manor Inc (Independence Manor Care Center)
• Independence MC, LLC (Jackson Creek Memory Care)
• Independence Medical Group PC
• Independence Neurosurgery Services LLC (Midwest Brain and Spine Associates)
• Independence Operations LLC (The Villages of Jackson Creek)
• Independence Orthodontics, LLC
• Independence Pediatric Dentistry LLC
• Independence Pediatrics PC

• Skilled Nursing Facility in Independence, MO
• Providers in Independence, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.