Independence Manor Inc
Independence Manor Inc is a healthcare organization registered as Skilled Nursing Facility in Independence, MO, holding Type 2 (organization) NPI 1255436556 since 2006. The authorized official on file is Hal Juckette, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255436556 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Independence Manor Inc |
| Other name | <Unavail> |
| Practice address | 1600 S KINGS HIGHWAY, Independence, MO, 64055 |
| Phone | 8168334777 |
| Fax | 8168333032 |
| Enumeration date | 2006-09-13 |
| Last updated in NPPES | 2012-07-05 |
Authorized official
| Name | Hal Juckette |
|---|---|
| Title | Owner |
| Phone | 6606465385 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 002374 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107808503 | Medicaid | MO | — |
Copy-ready billing details
Provider: Independence Manor Inc NPI: 1255436556 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1600 S KINGS HIGHWAY, Independence, MO, 64055
Verify this record
Cross-check NPI 1255436556 against the authoritative CMS record: view Independence Manor Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Independence Manor Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-07-05.