JACKSON CREEK POST ACUTE
NPI 1639940521
Skilled Nursing Facility in Independence, MO

Active since January 10, 2024CLIA 26D1078200 · Waiver
3980 S JACKSON DR, INDEPENDENCE, MO 64057(816) 795-1433 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Nov 19, 2024, Aug 21, 2024 and 1 more (4 updates tracked since 2024).

About Jackson Creek Post Acute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON CREEK POST ACUTE (NPI 1639940521) is a healthcare organization registered as a skilled nursing facility in Independence, Missouri and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Alicia Torres, Manager, as its authorized official.

NPPES Registry Identity

NPI1639940521
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameINDEPENDENCE COMMUNITY HEALTHCARE, LLC
Location Address3980 S JACKSON DRIndependence, MO 64057-2205
Mailing Address262 N University AveFarmington, UT 84025-2975
Organization SubpartNo
Authorized OfficialAlicia TorresManager · (385) 342-5175
Enumeration DateJanuary 10, 2024
Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
NPI 1639940521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X
3980 S JACKSON DR, Independence, MO 64057

Other Names 1

Doing Business AsJackson Creek Post Acute

Accepted Insurance

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 26D1078200

Jackson Creek Post Acute · Independence, MO
Active · expires Jan 2, 2028
CLIA Number26D1078200
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorHaseeb Ahmed
Laboratory Phone(816) 795-1433
Laboratory LocationJackson Creek Post Acute3980 S Jackson Drive, Independence, MO 64057
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3980 S JACKSON DR
INDEPENDENCE, MO 64057
Physical Therapy Assistant
3980 S JACKSON DR
INDEPENDENCE, MO 64057

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 Community Healthcare, LLC's NPI number?

The NPI number for Independence Community Healthcare, LLC is 1639940521. It was assigned to this organization in the NPPES registry on January 10, 2024. The provider is doing business as Jackson Creek Post Acute.

Where is Independence Community Healthcare, LLC located?

Independence Community Healthcare, LLC is located at 3980 S Jackson Dr, Independence, MO 64057. The listed phone number is (816) 795-1433.

What is Independence Community Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Independence Community Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1078200) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Independence Community Healthcare, LLC accept?

Health plans from UnitedHealthcare list Independence Community Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Independence Community Healthcare, LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.