Provider Demographics
NPI:1972583474
Name:SPOFFORD
Entity Type:Organization
Organization Name:SPOFFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-508-3401
Mailing Address - Street 1:9700 GRANDVIEW RD
Mailing Address - Street 2:P.O. BOX 9888
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-1135
Mailing Address - Country:US
Mailing Address - Phone:816-508-3400
Mailing Address - Fax:816-508-3425
Practice Address - Street 1:9700 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-1135
Practice Address - Country:US
Practice Address - Phone:816-508-3400
Practice Address - Fax:816-508-3425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO320800000X, 322D00000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Not Answered323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility