Independence II Operations, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

INDEPENDENCE II OPERATIONS, LLC

Doing business as

The Villages of Jackson Creek Memory Care

Practice address

3980 S. Jackson Dr.
Independence, MO 64057-1706

Phone

(816) 795-1433

Fax

(816) 795-1766

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Paula Pierce

Title

Authorized Officer

Phone

(972) 899-4401

Specialties & licenses 1

Addresses

Other names 1

• The Villages of Jackson Creek Memory Care Doing business as

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1861661399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR",
            "address_2": "STE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576011",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 S. JACKSON DR.",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571706",
            "telephone_number": "816-795-1433",
            "fax_number": "816-795-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE II OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "972-899-4401"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villages of Jackson Creek Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independence Avenue Dental LLC (True Dental Group)
• Independence Community Healthcare, LLC (Jackson Creek Post Acute)
• Independence Fire Department
• Independence Group Health, LLC
• Independence Healthcare LLC (Abode Health and Wellness Center)
• 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)
• Independence Neurosurgery Services LLC (Midwest Brain and Spine Associates)

• Nursing Facility/Intermediate Care Facility in Independence, MO
• Providers in Independence, MO by specialty
• Nursing Facility/Intermediate Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.