NPI
Independence Manor Inc
Doing business as Independence Manor Care Center. NPI 1255436556
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-09-13
- Last updated
- 2012-07-05
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Specialties
Licenses
- License MO
- 002374
Location
- Practice location
- 1600 S Kings Highway
- City
- Independence MO
- Postal code
- 64055
- Phone
- (816) 833-4777
Organization contact
- Name
- Hal Juckette
- Title
- owner
- Phone
- (660) 646-5385
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Independence, MO. 2,431 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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