Provider Demographics
NPI:1700903929
Name:SHERWOOD CENTER FOR THE EXCEPTIONAL CHILD
Entity type:Organization
Organization Name:SHERWOOD CENTER FOR THE EXCEPTIONAL CHILD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-333-3344
Mailing Address - Street 1:8030 WARD PARKWAY PLAZA
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114
Mailing Address - Country:US
Mailing Address - Phone:816-333-3344
Mailing Address - Fax:816-333-3377
Practice Address - Street 1:8030 WARD PARKWAY PLAZA
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114
Practice Address - Country:US
Practice Address - Phone:816-333-3344
Practice Address - Fax:816-333-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO852763408Medicaid
MO852763424Medicaid
MO852763432Medicaid
MO852763416Medicaid