Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independence Community Healthcare, LLC

Organization Assisted Living Facility · NPI 1639940521

Independence Community Healthcare, LLC is an Assisted Living Facility in Independence, Missouri. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3980 S Jackson Dr
Independence, MO 64057-2205
Phone: (816) 795-1433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X
Assisted Living Facility Taxonomy 310400000X

Record details

NPI number1639940521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Torres — Manager · (385) 342-5175
Other names Jackson Creek Post Acute; Jackson Creek Post Acute
NPI enumeratedJanuary 10, 2024
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 2, 2025
Mailing address262 N University Ave, Farmington, UT 84025-2975

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