Independence Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INDEPENDENCE HEALTHCARE LLC

Doing business as

Abode Health and Wellness Center

Practice address

17451 Medical Center Pkwy
Independence, MO 64057-1805

Phone

(816) 373-7795

NPI assigned

Sep 24, 2025

Last updated

Sep 24, 2025By 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

Eliot Berger

Title

Manager

Phone

(516) 277-6218

Specialties & licenses 1

Addresses

Other names 1

• Abode Health and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790658086. Details of each certification follow.

• CCN 265456 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265456

Legal name

INDEPENDENCE HEALTHCARE LLC

Doing business as

ABODE HEALTH AND WELLNESS CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1991

Last certification

Feb 19, 2025

Beds

118

Ownership / control type

Nonprofit Corporation

Multi-facility organization

BAPTIST HOMES HEALTHCARE MINISTRIES

Most recent change of ownership

Jun 1, 2021

Organization structure

LLCProprietary

Enrollment address

17451 Medical Center Pkwy
Independence, MO 64057-1805

Nursing home name

ABODE HEALTH AND WELLNESS CENTER

Affiliated entity

BLUE SKY BASIN, LLC

Listed as

Abode Health and Wellness CenterCCN 265456 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11854.8 residents per day on average

Chain

Blue Sky Basin, LLC5 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

22Fines totaling $246,540

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Steven Michael Cicero, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1407211873

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 7

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

• Buffalo Prairie Nursing and Rehab LLC

  dba Buffalo Prairie Center for Rehab and Healthcare

  • Skilled Nursing Facility
  • Buffalo, MO
  • NPI 1013679596

  Blue Sky Basin LLC

  CMS ownership
• Country Aire Healthcare LLC

  dba Country Aire Retirement Center

  • Skilled Nursing Facility
  • Lewistown, MO
  • NPI 1619639192

  Blue Sky Basin LLC

  CMS ownership
• Georgian Gardens Healthcare LLC

  dba Georgian Gardens Center for Rehab and Healthcare

  • Skilled Nursing Facility
  • Potosi, MO
  • NPI 1972265452

  Blue Sky Basin LLC

  CMS ownership
• Golden Years Nursing and Rehab LLC

  dba Golden Years Center for Rehab and Healthcare

  • Skilled Nursing Facility
  • Harrisonville, MO
  • NPI 1063174548

  Blue Sky Basin LLC

  CMS ownership
• Nodaway Healthcare LLC

  dba Nodaway Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Maryville, MO
  • NPI 1497453344

  Blue Sky Basin LLC

  CMS ownership
• Oregon Healthcare LLC

  dba Oregon Care Center

  • Nursing Facility/Intermediate Care Facility
  • Oregon, MO
  • NPI 1043918998

  Blue Sky Basin LLC

  CMS ownership
• Pleasant View Healthcare LLC

  dba Pleasant View

  • Nursing Facility/Intermediate Care Facility
  • Rock Port, MO
  • NPI 1699473546

  Blue Sky Basin LLC

  CMS ownership

Affiliated clinicians 1

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

• Steven Michael Cicero, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1407211873

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1790658086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 E 43RD ST S STE 201",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555911"
        },
        {
            "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": "INDEPENDENCE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-277-6218"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abode Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independence ASC LLC (The Endoscopy Center - East)
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• Independence Fire Department
• Independence Group Health, LLC
• 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 Mo Consulting LLC (Polaris Health & Wellness of Independence)

• 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 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.