SUNTERRA INDEPENDENCE OC, LLC (NPI# 1114451648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114451648 |
| Entity Type | Organization |
| Organization Name | SUNTERRA INDEPENDENCE OC, LLC |
| Practice Address |
19200 E 37th Terrace S Independence MO 64057-8324 |
| Practice Telephone | 2083710158 |
| Mailing Telephone | 2083710158 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | RORY WILLIAMS (CEO) |
| Authorized Official Telephone | 0827108066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 14674 6 | MO | Nursing & Custodial Care Facilities |
| Street Address |
19200 E 37TH TERRACE S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-8324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023247806 | 325th Combat Support Hospital | Skilled Nursing Facility | 11101 E Independence Ave, Independence, MO 64054-1511 | 2009-07-14 |
| 1255436556 | Independence Manor Inc | Skilled Nursing Facility | 1600 S Kings Highway, Independence, MO 64055 | 2006-09-13 |
| 1841393782 | Carmel Hills Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 810 East Walnut, Independence, MO 64050 | 2006-09-06 |
| 1750305033 | Grayson Facility Operations, LLC | Skilled Nursing Facility | 400 S. Independence Avenue, Independence, VA 24348-3857 | 2006-07-27 |
| 1932132750 | Independence 1 Inc | Skilled Nursing Facility | 10300 E Truman Rd, Independence, MO 64052-2258 | 2006-07-07 |
| 1457396426 | Sp Grayson, LLC | Skilled Nursing Facility | 400 S Independence Ave, Independence, VA 24348-3857 | 2006-06-16 |
| 1104877695 | Ggnsc Independence II LLC | Skilled Nursing Facility | 17451 Medical Center Pkwy, Independence, MO 64057-1805 | 2006-05-12 |
| 1497703201 | Evergreen Oregon Healthcare Independence, L.L.C. | Skilled Nursing Facility | 1525 Monmouth St, Independence, OR 97351-1007 | 2006-05-04 |
| 1992792923 | Regency Care Center of Independence, L.c. | Skilled Nursing Facility | 1800 S Swope Dr, Independence, MO 64057-1084 | 2005-10-04 |
| 1588666127 | Abcm Corporation | Skilled Nursing Facility | 1610 3rd St Ne, Independence, IA 50644-2228 | 2005-08-12 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on SUNTERRA INDEPENDENCE OC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.