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

Independence Mc, LLC

Organization Alzheimer Center (Dementia Center) · NPI 1679344402

Independence Mc, LLC is an Alzheimer Center (Dementia Center) in Independence, Missouri. Registered with an NPI since 2024.

In the registry since
2024
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

19400 E 40th Street Ct S
Independence, MO 64057-1548
Phone: (816) 478-5689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X

Record details

NPI number1679344402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Mitchell — Secretary · (385) 988-3319
Other names Jackson Creek Memory Care; Jackson Creek Memory Care
NPI enumeratedJanuary 10, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address262 N University Ave, Farmington, UT 84025-2975

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