1800 Opco LLC
Organization Active NPI Skilled Nursing Facility · Independence, MO
NPI 1972214849 · NPPES record last updated Dec 12, 2022
Key facts
- NPI
- 1972214849
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 1800 OPCO LLC
- Practice address
- 1800 S Swope Dr
Independence, MO 64057-1084 - Phone
- (816) 257-2566
- NPI assigned
- Dec 12, 2022
- Organization subpart
- No
Authorized official
- Name
- David Garetz
- Title
- Cfo
- Phone
- (213) 395-1848
Owners & managing parties with NPI records 1
-
Srinath Tadakamalla, M.D
Practitioners 1
-
Srinath Tadakamalla, M.D
Affiliated clinicians 1
-
Srinath Tadakamalla, M.D
Medicare Care Compare: Nursing home
- Listed as
- Rehabilitation Center of Independence, the
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 9, 1998
- Medicare certification status
- Active
- Certified beds
- 130 · 121.7 residents per day on average
- Chain
- Opco Skilled Management
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $71,208
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265693
- Legal name
- 1800 OPCO LLC
- Doing business as
- THE REHABILITATION CENTER OF INDEPENDENCE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 9, 1998
- Last certification
- Jan 10, 2025
- Beds
- 130
- Ownership / control type
- Corporation
- Multi-facility organization
- OPCO SKILLED MANAGEMENT
- Most recent change of ownership
- Dec 12, 2022
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1800 S Swope Dr
Independence, MO 64057-1084 - Nursing home name
- REHABILITATION CENTER OF INDEPENDENCE, THE
- Affiliated entity
- OPCO SKILLED MANAGEMENT
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Esdov Investments LLC |
Adp of the SNF | Dec 12, 2022 | |
| First Sweetzer Holdings LLC |
Adp of the SNF | Dec 12, 2022 | |
| Indirect Ownership Interest | Dec 12, 2022 | 2% | |
| 1800 S Swope Drive Mo, LLC |
5% Or Greater Mortgage Interest | Dec 12, 2022 | 100% |
| Adp of the SNF | Dec 12, 2022 | ||
| Sasem Investments LLC |
Indirect Ownership Interest | Dec 12, 2022 | 2.58% |
| El Dorado Nursing and Rehabilitation LLC |
Direct Ownership Interest | Dec 12, 2022 | 100% |
| Ozark Healthcare Realty LLC |
5% Or Greater Mortgage Interest | Dec 12, 2022 | 100% |
| Adp of the SNF | Dec 12, 2022 | ||
| Montgomery Sky Trust |
5% Or Greater Mortgage Interest | Dec 12, 2022 | 99% |
| Adp of the SNF | Dec 12, 2022 | ||
| Emerald Property Partners LLC |
5% Or Greater Mortgage Interest | Dec 12, 2022 | 74.5% |
| Adp of the SNF | Dec 12, 2022 | ||
| Rimpau Holdings Trust |
Indirect Ownership Interest | Dec 12, 2022 | 34.1% |
| Crestview Trust |
Indirect Ownership Interest | Dec 12, 2022 | 63.33% |
| Caliber Advisors LLC |
Indirect Ownership Interest | Dec 12, 2022 | 97% |
| Michael Callicott |
Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Jubilee Master Holdings LLC |
Adp of the SNF | Dec 12, 2022 | |
| Hatteras Investments LLC |
Adp of the SNF | Dec 12, 2022 | |
| Indirect Ownership Interest | Dec 12, 2022 | 1% | |
| Gibraltar Trust |
5% Or Greater Mortgage Interest | Dec 12, 2022 | 20% |
| Adp of the SNF | Dec 12, 2022 | ||
| David Garetz |
Operational/Managerial Control | Dec 12, 2022 | |
| Srinath Tadakamalla |
Operational/Managerial Control | Dec 12, 2023 | |
| Adp of the SNF | Dec 12, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230125001329 | MO | Part a Provider - Skilled Nursing Facility | 9335510668 | Practice locations: Independence, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1800 S Swope Dr
Independence, MO 64057-1084
Mailing address
4525 Wilshire Blvd Ste 210
Los Angeles, CA 90010-3846
Other names
- The Rehabilitation Center of Independence
Other providers in Independence, MO
- 20-20 Inc
- 20-20 Inc
- 21St Century Chiropractic, P.C.
- 325TH Combat Support Hospital
- 50-Plus LTC Pharmacy
All providers in Independence, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.