Provider Demographics
NPI:1447981196
Name:EXPERT FAMILY CARE, LLC
Entity type:Organization
Organization Name:EXPERT FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KARVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOFOED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-465-8100
Mailing Address - Street 1:898 LAZY DAYS RD
Mailing Address - Street 2:
Mailing Address - City:OSAGE BEACH
Mailing Address - State:MO
Mailing Address - Zip Code:65065-3423
Mailing Address - Country:US
Mailing Address - Phone:573-465-8100
Mailing Address - Fax:
Practice Address - Street 1:612 SW 3RD ST STE B
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2265
Practice Address - Country:US
Practice Address - Phone:816-207-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care