Active NPI
Heritage Wellness & Rehabilitation LLC
- Skilled Nursing Facility
- Independence, MO
National Provider Identifier
1609794577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HERITAGE WELLNESS & REHABILITATION LLC
- Practice address
- 17451 Medical Center Pkwy
Independence, MO 64057-1805 - Phone
- (816) 373-7795
- NPI assigned
- Jul 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Garetz
- Title
- Cfo
- Phone
- (323) 987-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
17451 Medical Center Pkwy
Independence, MO 64057-1805
Mailing address
4525 Wilshire Blvd Ste 210
Los Angeles, CA 90010-3846
National Provider Directory
National Provider DirectoryLocations
17451 Medical Center Pkwy
Independence, MO 64057
Phone (816) 373-7795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784160000000",
"number": "1609794577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 WILSHIRE BLVD STE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17451 MEDICAL CENTER PKWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571805",
"telephone_number": "816-373-7795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE WELLNESS & REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-08",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A",
"authorized_official_last_name": "GARETZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "323-987-5954"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.