Provider Demographics
NPI:1639858848
Name:SPIRA INNOVATIONS, LLC.
Entity Type:Organization
Organization Name:SPIRA INNOVATIONS, LLC.
Other - Org Name:BLUE TO YOU BUS SPIRA INNOVATIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-395-3620
Mailing Address - Street 1:SPIRA CARE LLC, 2301 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KCMO
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:181-639-5352
Mailing Address - Fax:
Practice Address - Street 1:SPIRA CARE OVERLAND PARK 7341 W. 133RD ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213
Practice Address - Country:US
Practice Address - Phone:816-395-3520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPIRA INNOVATIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-14
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care