NPIMap

Organization Active NPI

Terrace Home Health Independence, LLC

  • Home Health Agency
  • Independence, MO
National Provider Identifier
1427699800
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TERRACE HOME HEALTH INDEPENDENCE, LLC
Practice address
4721 S Cliff Ave Ste 211
Independence, MO 64055-6969
Phone
(816) 441-0000
Fax
(816) 441-0001
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4721 S Cliff Ave Ste 211
Independence, MO 64055-6969

Mailing address

598 W 900 S Ste 220
Woods Cross, UT 84010-8195
Phone (801) 397-4697

Other practice location 1

7201 W 129th St
Overland Park, KS 66213-2710
Phone (913) 356-0010

Other names 1

  • Terrace Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109002075 MO Part A Provider - Home Health Agency 6204261787 Practice locations: Independence, MO; Overland Park, KS

Home health agency certification: CCN 267673

Legal name
TERRACE HOME HEALTH INDEPENDENCE, LLC
Doing business as
TERRACE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 7, 2020
Last certification
May 7, 2020
Ownership / control type
Proprietary
Organization structure
LLC
Incorporated
Apr 2, 2019 in ID
Enrollment address
4721 S Cliff Ave
Ste 211
Independence, MO 64055-6969

Care Compare: Home health agency

Medicare Care Compare
Listed as
Terrace Home Health Independence, LLCCCN 267673
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 7, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2246225Terrace Home Health Independence, LLC7201 W 129TH St, Overland Park, KS 66213Certificate of waiverDec 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Terrace Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7201 W 129th St
Overland Park, KS 66213
Phone (913) 356-0010

7201 W 129th St
Ste 230
Overland Park, KS 66213

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Edward L Bangerter Individual 5% Or Greater Indirect Ownership InterestLLC Member DLB Legacy LLC Mar 28, 2025 17.46%
Gary J Stevens Individual Corporate OfficerVice President Apr 1, 2025
Rmce Operations LLC Organization, Woods Cross, UT LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 16, 2026
Dee R Bangerter Individual 5% Or Greater Indirect Ownership InterestGrantor DLB Legacy LLC Mar 28, 2025 15.71%
BV Operations LLC. Organization, Idaho Falls, ID LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2025 22.84%
Allen L Ball Individual 5% Or Greater Indirect Ownership InterestGrantor Ball Ventures LLC Jan 16, 2001 11.42%
RMC Enterprises LLC Organization, Woods Cross, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 100%
Connie L Ball Individual 5% Or Greater Indirect Ownership InterestGrantor Ball Ventures LLC Jan 16, 2001 11.42%
Melissia Selock Individual W-2 Managing EmployeeAd; Mar 26, 2026
DLB Legacy LLC Organization, Woods Cross, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 77.16%
Johnathan Bangerter Individual 5% Or Greater Indirect Ownership InterestMember & Trustee DLB Legacy LLC Mar 28, 2025 34.66%
Jason Gatherum Individual Corporate OfficerPresident Apr 1, 2025
BV Pac Holdings LLC Organization, Idaho Falls, ID LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 22.84%
Kelly Snowball Individual Corporate OfficerGoverning Body Chair Apr 1, 2025
Ball Ventures LLC Organization, Idaho Falls, ID LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 2, 2005 22.84%
Richard P Shrader Individual 5% Or Greater Indirect Ownership InterestTrustee DLB Legacy LLC Mar 28, 2025 8.11%

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1427699800",
    "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": "801-296-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 S CLIFF AVE STE 211",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556969",
            "telephone_number": "816-441-0000",
            "fax_number": "816-441-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 W 129th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662132710",
            "country_code": "US",
            "telephone_number": "913-356-0010",
            "fax_number": "913-356-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERRACE HOME HEALTH INDEPENDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrace Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.