Healthcare Provider Details

I. General information

NPI: 1801732599
Provider Name (Legal Business Name): SPIRAL RESIDENTIAL HOME AND RESPITE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 E 63RD ST
RAYTOWN MO
64133-5430
US

IV. Provider business mailing address

1520 E LINWOOD BLVD
KANSAS CITY MO
64109-2045
US

V. Phone/Fax

Practice location:
  • Phone: 816-239-8511
  • Fax:
Mailing address:
  • Phone: 816-239-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MIKEA WILLIAMS
Title or Position: OWNER
Credential: RN
Phone: 816-239-8511