Provider Demographics
NPI:1386868834
Name:JEWISH VOCATIONAL SERVICE BUREAU OF KANSAS CITY
Entity type:Organization
Organization Name:JEWISH VOCATIONAL SERVICE BUREAU OF KANSAS CITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:816-471-2808
Mailing Address - Street 1:4600 THE PASEO
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-1826
Mailing Address - Country:US
Mailing Address - Phone:816-471-2808
Mailing Address - Fax:816-471-2930
Practice Address - Street 1:1608 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1303
Practice Address - Country:US
Practice Address - Phone:816-471-2808
Practice Address - Fax:816-471-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO4447251S00000X
320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO499898104Medicaid