Healthcare Provider Details

I. General information

NPI: 1053677732
Provider Name (Legal Business Name): SWOPE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3859 E 59TH TER
KANSAS CITY MO
64130-4410
US

IV. Provider business mailing address

3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY MO
64130-2807
US

V. Phone/Fax

Practice location:
  • Phone: 816-401-9105
  • Fax:
Mailing address:
  • Phone: 816-923-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ESSENCE MONTGOMERY
Title or Position: CFO
Credential:
Phone: 816-599-5683