Healthcare Provider Details

I. General information

NPI: 1700903929
Provider Name (Legal Business Name): SHERWOOD CENTER FOR THE EXCEPTIONAL CHILD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/16/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8030 WARD PARKWAY PLAZA
KANSAS CITY MO
64114
US

IV. Provider business mailing address

8030 WARD PARKWAY PLAZA
KANSAS CITY MO
64114
US

V. Phone/Fax

Practice location:
  • Phone: 816-333-3344
  • Fax: 816-333-3377
Mailing address:
  • Phone: 816-333-3344
  • Fax: 816-333-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SHATTO
Title or Position: CFO
Credential:
Phone: 816-333-3344