MEDICARE: SIGNATURE BEHAVIORAL HOSPITAL OPERATIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital	532-1	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225462336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE BEHAVIORAL HOSPITAL OPERATIONS, LLC

Provider Business Mailing Address
First Line	:	6100 TOWER CIR STE 1000
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-1509
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 CLAY EDWARDS DR
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3235
Country	:	US
Telephone Number	:	816-691-5101
Fax Number	:	636-447-6001

Authorized Official
Title or Position	:	VICE PRESIDENT AND SECRETARY
Name	:	BRIAN P. FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	08/26/2013
Last Update Date	:	08/26/2023

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