Organization
INDEPENDENCE OPERATIONS LLC
Active
Parent organization
STONEGATE SENIOR CARE, LP
Other names
The Villages of Jackson Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONEGATE SENIOR CARE, LP
Authorized official
PAULA PIERCE (AUTHORIZED OFFICER)
(972) 899-4401
Entity
Organization
Contact information
Practice address
3980 S. JACKSON DR., INDEPENDENCE, MO 64057-1706
(816) 795-1433
(816) 795-1766
Mailing address
1500 WATERS RIDGE DR, STE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4806
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
035304
MO
314000000X
Skilled Nursing Facility
Primary
035303
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101488302
—
MO
Enumeration date
09/25/2007
Last updated
06/02/2008
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