NPIMap

Organization Active NPI

Villages of Jackson Creek LLC

  • Skilled Nursing Facility
  • Independence, MO
National Provider Identifier
1982026415
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VILLAGES OF JACKSON CREEK LLC
Doing business as
The Villages of Jackson Creek
Practice address
3980 E Jackson Dr
Independence, MO 64057-2205
Phone
(816) 795-1433
NPI assigned
Jan 17, 2014
Organization subpart
Yes
Parent organization
NATIONAL HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Melvin J Rector
Title
Manager of LLC
Phone
(636) 946-3677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3980 E Jackson Dr
Independence, MO 64057-2205

Mailing address

3980 E Jackson Dr
Independence, MO 64057-2205

Other names 1

  • The Villages of Jackson Creek Doing business as

National Provider Directory

National Provider Directory
Part of
National Healthcare Corporation

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1982026415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 E JACKSON DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 E JACKSON DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572205",
            "telephone_number": "816-795-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGES OF JACKSON CREEK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE CORPORATION",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "RECTOR",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER OF LLC",
        "authorized_official_telephone_number": "636-946-3677"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villages of Jackson Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2014; 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.