Provider Demographics
NPI:1073714614
Name:REACHING OUT
Entity Type:Organization
Organization Name:REACHING OUT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:LAMONTE
Authorized Official - Last Name:SPRUILL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:816-678-3522
Mailing Address - Street 1:8716 LONGVIEW CT
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-3674
Mailing Address - Country:US
Mailing Address - Phone:816-678-3522
Mailing Address - Fax:816-765-0680
Practice Address - Street 1:8716 LONGVIEW CT
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-3674
Practice Address - Country:US
Practice Address - Phone:816-678-3522
Practice Address - Fax:816-765-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness