1013921683 NPI number — HEALTHY FAMILIES COUNSELING & SUPPORT, INC.

Table of content: (NPI 1013921683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013921683 NPI number — HEALTHY FAMILIES COUNSELING & SUPPORT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHY FAMILIES COUNSELING & SUPPORT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SPOFFORD OZANAM SERVICES, INC.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013921683
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3100 NE 83RD ST
Provider Second Line Business Mailing Address:
SUITE 2500
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64119-4400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-468-6336
Provider Business Mailing Address Fax Number:
816-468-0289

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3100 NE 83RD ST
Provider Second Line Business Practice Location Address:
SUITE 2500
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64119-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-468-6336
Provider Business Practice Location Address Fax Number:
816-468-0289
Provider Enumeration Date:
07/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NEUBAUER
Authorized Official First Name:
GREG
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
816-468-6336

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 58910913 . This is a "TPIN" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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