THE VILLAGES OF JACKSON CREEK
NPI 1760679625
Skilled Nursing Facility in Independence, MO

Active since September 25, 2007
3980 S. JACKSON DR., INDEPENDENCE, MO 64057(816) 795-1433(816) 795-1766 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Villages Of Jackson Creek NPPES

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

THE VILLAGES OF JACKSON CREEK (NPI 1760679625) is a healthcare organization registered as a skilled nursing facility in Independence, Missouri and active in the NPI registry since September 2007. The organization lists Paula Pierce, Authorized Officer, as its authorized official.

NPPES Registry Identity

NPI1760679625
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameINDEPENDENCE OPERATIONS LLC
Location Address3980 S. JACKSON DR.Independence, MO 64057-1706
Mailing Address1500 Waters Ridge Dr, Ste 200Lewisville, TX 75057-6011 · (972) 899-4401 · Fax (972) 899-4806
Fax(816) 795-1766
Organization SubpartYesParent: Stonegate Senior Care, Lp
Authorized OfficialPaula PierceAuthorized Officer · (972) 899-4401
Enumeration DateSeptember 25, 2007
Last NPPES UpdateJune 2, 2008
NPI 1760679625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 035303
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 · License 035304 (MO)
3980 S. JACKSON DR., Independence, MO 64057

Other Names 1

Doing Business AsThe Villages Of Jackson Creek

Other Identifiers 2

Medicare OSCAR/certification265820MO
Medicaid101488302MO

Other Providers at the Same Location NPPES

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

Nursing Facility/Intermediate Care Facility
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 Operations LLC's NPI number?

The NPI number for Independence Operations LLC is 1760679625. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Independence Operations LLC located?

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

What is Independence Operations LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Independence Operations LLC was last updated on June 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.