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THE VILLAGES OF JACKSON CREEK MEMORY CARE
NPI 1861661399
Nursing Facility/Intermediate Care Facility in Independence, MO

Active since February 28, 2008
3980 S. JACKSON DR., INDEPENDENCE, MO 64057(816) 795-1433(816) 795-1766 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Villages Of Jackson Creek Memory Care NPPES

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

THE VILLAGES OF JACKSON CREEK MEMORY CARE (NPI 1861661399) is a healthcare organization registered as a nursing facility/intermediate care facility in Independence, Missouri and active in the NPI registry since February 2008. The organization lists Paula Pierce, Authorized Officer, as its authorized official.

NPPES Registry Identity

NPI1861661399
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameINDEPENDENCE II 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) 899-4460
Phone(816) 795-1433
Fax(816) 795-1766
Organization SubpartNo
Authorized OfficialPaula PierceAuthorized Officer · (972) 899-4401
Enumeration DateFebruary 28, 2008
✔ NPI 1861661399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
3980 S. JACKSON DR., Independence, MO 64057
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Other Names 1

Doing Business AsThe Villages Of Jackson Creek Memory Care

Other Providers at the Same Location NPPES

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

INDEPENDENCE OPERATIONS LLC
Skilled Nursing Facility
3980 S. JACKSON DR.
INDEPENDENCE, MO 64057
Jackson County (816) 795-1433

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 II Operations, LLC's NPI number?

The NPI number for Independence II Operations, LLC is 1861661399. It was assigned to this organization in the NPPES registry on February 28, 2008. The provider is doing business as The Villages Of Jackson Creek Memory Care.

Where is Independence II Operations, LLC located?

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

What is Independence II Operations, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Independence II Operations, LLC was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.