The Rehabilitation Center of Independence, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

042339 Issued in MO

Legal business name

THE REHABILITATION CENTER OF INDEPENDENCE, LLC

Practice address

1800 S Swope Dr
Independence, MO 64057-1084

Phone

(816) 257-2566

Fax

(816) 257-4656

NPI assigned

Nov 15, 2006

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Rehabilitation Center of Independence Doing business as

Practitioners 1

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

• Kathleen R Sproules, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, MO
  • NPI 1629187992
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1336212844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S SWOPE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571084",
            "telephone_number": "816-257-2566",
            "fax_number": "816-257-4656"
        },
        {
            "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",
            "fax_number": "816-257-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REHABILITATION CENTER OF INDEPENDENCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "042339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109807107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehabilitation Center of Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ellis Thigpen, D.D.S.
• Richard Thode
• Michelle Tholen, PMHNP-BC

• 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 Jan 26, 2016; 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.