Independence Mc, LLC
NPI 1679344402 · Alzheimer Center (Dementia Center) · Independence, MO
Independence Mc, LLC is a Alzheimer Center (Dementia Center) organization in Independence, MO (NPI 1679344402).
Provider details
- NPI number
- 1679344402
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Mitchell, Secretary(385) 988-3319
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
2 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
- Jackson Creek Memory Care
- Doing business as
- Jackson Creek Memory Care
Registry dates
- Enumerated
- 2024-01-10
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Independence Mc, LLC's NPI number?
- Independence Mc, LLC's National Provider Identifier (NPI) is 1679344402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Mc, LLC?
- Independence Mc, LLC is classified in the NPPES registry as Alzheimer Center (Dementia Center) (Nursing & Custodial Care Facilities).
- Where is Independence Mc, LLC located?
- Independence Mc, LLC's practice location on file with NPPES is 19400 E 40th Street Ct S, Independence, MO 64057-1548.
- What is Independence Mc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Independence Mc, LLC is (816) 478-5689.
- Who is the authorized official for Independence Mc, LLC?
- The authorized official listed on Independence Mc, LLC's NPPES record is John Mitchell, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Mc, LLC's NPI active?
- Yes — Independence Mc, LLC's NPI (1679344402) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.