Organization Active NPI

The Bishop Spencer Place, Inc.

  • Skilled Nursing Facility
  • Kansas City, MO
National Provider Identifier
1629076872
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030060 Issued in MO
Legal business name
THE BISHOP SPENCER PLACE, INC.
Practice address
4301 Madison Ave
Kansas City, MO 64111-3491
Phone
(816) 931-4277
Fax
(816) 931-4717
NPI assigned
Jul 12, 2005
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa H Havenhill
Title
Vice President
Phone
(816) 599-9226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 030061 MO
Skilled Nursing Facility 314000000X 030060 MO Primary

Addresses

Primary practice location

4301 Madison Ave
Kansas City, MO 64111-3491

Mailing address

4301 Madison Ave
Kansas City, MO 64111-3491
Phone (816) 931-4277

Other identifiers 1

IdentifierTypeStateIssuer
108193103MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030827000003 MO Part A Provider - Skilled Nursing Facility 8628989001 Practice locations: Kansas City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629076872. Details of each certification follow.

Skilled nursing facility certification: CCN 265768

Legal name
THE BISHOP SPENCER PLACE INC
Doing business as
THE BISHOP SPENCER PLACE INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 7, 2003
Last certification
Feb 6, 2024
Beds
57
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
4301 Madison Ave
Kansas City, MO 64111-3491
Nursing home name
BISHOP SPENCER PLACE, INC, THE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bishop Spencer Place, Inc, theCCN 265768 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 7, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5747.3 residents per day on average
Penalties (3 years)
1Fines totaling $8,021

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0923014Bishop Spencer Place4301 Madison Avenue, Kansas City, MO 64111Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa H Havenhill Individual Corporate OfficerVice President Jan 19, 2019
Corporate DirectorVice President Jan 19, 2020
Operational/Managerial Control Jan 19, 2020
Nanette Johnston Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Kristen M Wootton Individual Corporate DirectorCmo Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Anne Hutcherson Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Amy Meaux Individual Corporate DirectorBoard Member May 3, 2025
Operational/Managerial Control May 3, 2025
Beverly Elving Individual Corporate DirectorBoard Member Jan 1, 2019
Operational/Managerial Control Jan 1, 2019
Organization, Columbia, MO Medical staffing company Adp of the SNF Jul 2, 2025
Anthony E Jackson Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Dec 9, 2025
Organization, Dallas, TX Management services company, For-profit Adp of the SNF Dec 8, 2025
Karen Calvin Individual Corporate DirectorBoard Member Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Organization, Secaucus, NJ Consulting firm, For-profit Adp of the SNF Jul 2, 2025
Saint Lukes Health System Inc Organization, Kansas City, MO Corporation, Non-profit Operational/Managerial Control Dec 16, 1996
Adp of the SNF Jun 27, 2025
Jane Lampo Individual Corporate DirectorBoard Member Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Organization, San Diego, CA Corporation, Medical staffing company, For-profit Adp of the SNF Jul 2, 2025
Sydney McBride Individual Corporate OfficerPresident Aug 11, 2025
Corporate DirectorPresident Aug 11, 2025
Operational/Managerial Control Aug 7, 2025
Richard Achelphol Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Organization, Marshall, MO Consulting firm Adp of the SNF Dec 8, 2025
James W Coulter Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Randy W Sparks Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Dec 9, 2025
Andrew C Keyse Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Jani L Johnson Individual Corporate DirectorPresident Jan 15, 2020
Operational/Managerial Control Jan 15, 2020
Jason Purcell Individual Corporate DirectorBoard Member Jan 1, 2025
Operational/Managerial Control Jan 1, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1629076872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MADISON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113491",
            "telephone_number": "816-931-4277",
            "fax_number": "816-931-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MADISON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113491",
            "telephone_number": "816-931-4277",
            "fax_number": "816-931-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BISHOP SPENCER PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "HAVENHILL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-599-9226"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "030061",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108193103",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4301 Madison Ave",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641113491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.