Independence Manor Inc
NPI 1255436556 · Skilled Nursing Facility · Independence, MO
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Independence Manor Inc is a Skilled Nursing Facility organization in Independence, MO (NPI 1255436556).
Provider details
- NPI number
- 1255436556
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Hal Juckette, Owner(660) 646-5385
- License
- 002374 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Independence Manor Care Center
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2012-07-05
Frequently asked questions
- What is Independence Manor Inc's NPI number?
- Independence Manor Inc's National Provider Identifier (NPI) is 1255436556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Manor Inc?
- Independence Manor Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Independence Manor Inc located?
- Independence Manor Inc's practice location on file with NPPES is 1600 S Kings Highway, Independence, MO 64055.
- What is Independence Manor Inc's phone number?
- The practice phone number listed in the NPPES registry for Independence Manor Inc is (816) 833-4777.
- Does Independence Manor Inc accept Medicare?
- Independence Manor Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Independence Manor Inc?
- The authorized official listed on Independence Manor Inc's NPPES record is Hal Juckette, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Manor Inc's NPI active?
- Yes — Independence Manor Inc's NPI (1255436556) is active in the NPPES registry as of the last update on 2012-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.