Provider Demographics
NPI:1164023099
Name:SPIRA CARE, LLC
Entity Type:Organization
Organization Name:SPIRA CARE, LLC
Other - Org Name:SPIRA CARE, LLC OLATHE NCPDP
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OF SPIRA CARE
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-603-1040
Mailing Address - Street 1:2301 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2429
Mailing Address - Country:US
Mailing Address - Phone:816-395-3148
Mailing Address - Fax:
Practice Address - Street 1:15710 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1511
Practice Address - Country:US
Practice Address - Phone:913-297-7472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPIRA CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-06
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty