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NPI Code Detail

MEDICARE: SPOFFORD

MEDICARE: SPOFFORD
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
1320800000XMental Illness Community Based Residential Treatment FacilityMO
2322D00000XEmotionally Disturbed Childrens' Residential Treatment FacilityMO
3323P00000XPsychiatric Residential Treatment FacilityMO

General Provider Information

NPI Number : 1972583474
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPOFFORD
Provider Business Mailing Address
First Line : 9700 GRANDVIEW RD
Second Line : P.O. BOX 9888
City : KANSAS CITY
State : MO
Zip : 64137-1135
Country : US
Telephone Number : 816-508-3400
Fax Number : 816-508-3425
Provider Business Practice Location Address
First Line : 9700 GRANDVIEW RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64137-1135
Country : US
Telephone Number : 816-508-3400
Fax Number : 816-508-3425
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MS. JANINE HRON
Credential :
Telephone Number : 816-508-3401
Provider Enumeration Date : 01/19/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1033286547 — MS. SARAH ELIZABETH THIBAULT PLCSW
Practice Location Address:
9700 GRANDVIEW RD
KANSAS CITY, MO
64137-1135
Practice Phone: 816-508-3400
Practice Fax: 816-508-3425
1508933185 — MS. AUDREY LANE PLAYTER M.S.W., L.C.S.W.
Practice Location Address:
9700 GRANDVIEW RD
KANSAS CITY, MO
64137-1135
Practice Phone: 816-508-3400
Practice Fax: 816-508-3425
1740321330 — MS. SUSAN BERNADETTE WILSON PH.D.
Practice Location Address:
9700 GRANDVIEW RD
KANSAS CITY, MO
64137-1135
Practice Phone: 816-508-3400
Practice Fax: 816-508-3425
1174762884 — MRS. KELLY AMANDA CARPENTER LPC, LCPC
Practice Location Address:
9700 GRANDVIEW RD
KANSAS CITY, MO
64137-1135
Practice Phone: 816-508-3400
Practice Fax: 816-508-3425
1003056540 — MRS. JESSICA WOODRUFF PLCSW
Practice Location Address:
9700 GRANDVIEW RD
KANSAS CITY, MO
64137-1135
Practice Phone: 816-508-3400
Practice Fax: 816-508-3425
1598077646 — MRS. TERESA MARGARET PEREIRA LMSW
Practice Location Address:
9700 GRANDVIEW RD
KANSAS CITY, MO
64137-1135
Practice Phone: 816-508-3426
Practice Fax:

Directions to “SPOFFORD ” Practice Location

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