The Villages Of Jackson Creek
LBN: Independence Operations Llc
The Villages Of Jackson Creek is an health care organization with primary practice located at 3980 S. Jackson Dr. , Independence MO 64057-1706. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Independence Operations Llc can be contacted via phone (816) 795-1433, or through Pierce, Paula via phone (972) 899-4401.
Contact Information
Primary practice address
3980 S. Jackson Dr.
Independence MO 64057-1706
Phone: (816) 795-1433
Fax: (816) 795-1766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 035304 | Missouri |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 035303 | Missouri |
Profile Details
| NPI number | 1760679625 |
|---|---|
| LBN Legal business name | Independence Operations Llc |
| DBA Doing business as | The Villages Of Jackson Creek |
| Authorized official | Pierce, Paula |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Jun 2nd, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760679625 | NPPES |
| Missouri | MEDICAID | 101488302 |
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