Provider Demographics
NPI:1992430946
Name:SPIRA CARE, LLC
Entity type:Organization
Organization Name:SPIRA CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT SPIRA CARE
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:SWEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-360-1040
Mailing Address - Street 1:1400 BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-1903
Mailing Address - Country:US
Mailing Address - Phone:816-395-3520
Mailing Address - Fax:
Practice Address - Street 1:3717 S WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6740
Practice Address - Country:US
Practice Address - Phone:816-395-3520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPIRA CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-22
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2018009507OtherPRIVATE INSURER
MO2018009507OtherSTATE PROVIDER LICENSE
MO2018009507OtherSTATE MEDICAL LICENSE