Active NPI
The Bishop Spencer Place, Inc.
- Skilled Nursing Facility
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030060
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108193103 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, the
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 7, 2003
- Medicare certification status
- Active
- Certified beds
- 57
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0923014 | Bishop Spencer Place | Certificate of waiver | Dec 11, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lisa H Havenhill | Corporate Officer | Jan 19, 2019 | |
| Corporate Director | Jan 19, 2020 | ||
| Operational/Managerial Control | Jan 19, 2020 | ||
| Nanette Johnston | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Kristen M Wootton | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Anne Hutcherson | Corporate Director | Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Amy Meaux | Corporate Director | May 3, 2025 | |
| Operational/Managerial Control | May 3, 2025 | ||
| Beverly Elving | Corporate Director | Jan 1, 2019 | |
| Operational/Managerial Control | Jan 1, 2019 | ||
| Adp of the SNF | Jul 2, 2025 | ||
| Anthony E Jackson | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Dec 9, 2025 | ||
| Adp of the SNF | Dec 8, 2025 | ||
| Karen Calvin | Corporate Director | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jul 2, 2025 | ||
| Saint Lukes Health System Inc | Operational/Managerial Control | Dec 16, 1996 | |
| Adp of the SNF | Jun 27, 2025 | ||
| Jane Lampo | Corporate Director | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jul 2, 2025 | ||
| Sydney McBride | Corporate Officer | Aug 11, 2025 | |
| Corporate Director | Aug 11, 2025 | ||
| Operational/Managerial Control | Aug 7, 2025 | ||
| Richard Achelphol | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Dec 8, 2025 | ||
| James W Coulter | Corporate Director | Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Randy W Sparks | Operational/Managerial Control | Jul 1, 2025 | |
| Adp of the SNF | Dec 9, 2025 | ||
| Andrew C Keyse | Corporate Director | Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Jani L Johnson | Corporate Director | Jan 15, 2020 | |
| Operational/Managerial Control | Jan 15, 2020 | ||
| Jason Purcell | Corporate Director | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1063076925
Adp of the SNF, Operational/Managerial Control
-
- Obstetrics & Gynecology Physician
- Kansas City, MO
- NPI 1902988199
Corporate Director, Operational/Managerial Control
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Kansas City, MO
- NPI 1073548905
Saint Lukes Health System Inc
-
dba SLHS Home Care and Hospice
- Home Health Agency
- Kansas City, MO
- NPI 1114984275
Saint Lukes Health System Inc
-
dba Wright Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Trenton, MO
- NPI 1821062688
Saint Lukes Health System Inc
-
dba Wright Memorial Hospital
- Critical Access Hospital
- Trenton, MO
- NPI 1841274057
Saint Lukes Health System Inc
-
dba Saint Luke's Mercer County Clinic
- Rural Health Clinic/Center
- Princeton, MO
- NPI 1962877514
Saint Lukes Health System Inc
-
- Rehabilitation Hospital Unit
- Kansas City, MO
- NPI 1265473953
Saint Lukes Health System Inc
-
dba Saint Luke's Norland Hospital-Smithville
- General Acute Care Hospital
- Kansas City, MO
- NPI 1942241799
Saint Lukes Health System Inc
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
Saint Lukes Health System Inc
-
dba Hedrick Medical Center
- Rural Health Clinic/Center
- Chillicothe, MO
- NPI 1437191095
Saint Lukes Health System Inc
-
dba Hedrick Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Chillicothe, MO
- NPI 1881638203
Saint Lukes Health System Inc
-
dba Hedrick Medical Center
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
Saint Lukes Health System Inc
-
dba Wright Memorial Physicians Group
- Rural Health Clinic/Center
- Trenton, MO
- NPI 1700895711
Saint Lukes Health System Inc
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1740247873
-
- Geriatric Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1063076925
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1063076925
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.