INDEPENDENCE MANOR CARE CENTER
NPI 1255436556
Skilled Nursing Facility in Independence, MO
About Independence Manor Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDEPENDENCE MANOR CARE CENTER (NPI 1255436556) is a healthcare organization registered as a skilled nursing facility in Independence, Missouri and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Hal Juckette, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D0719208
Independence Manor Care Center · Independence, MONursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Independence Manor Care Center (CMS certification number 265682), from CMS Care Compare.
Independence Manor Care Center
Nursing home · Independence, MOCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Independence Manor Inc's NPI number?
The NPI number for Independence Manor Inc is 1255436556. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Independence Manor Care Center.
Where is Independence Manor Inc located?
Independence Manor Inc is located at 1600 S Kings Highway, Independence, MO 64055. The listed phone number is (816) 833-4777.
What is Independence Manor Inc's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Independence Manor Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0719208) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Independence Manor Inc a Medicare-certified nursing home?
Yes. Independence Manor Care Center is a Medicare-certified nursing home with 99 certified beds.
What quality rating does Independence Manor Inc have?
CMS rates Independence Manor Care Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
When was this NPI record last updated?
The NPPES record for Independence Manor Inc was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.