Provider Demographics
NPI:1841318680
Name:GREAT EXPECTATIONS
Entity type:Organization
Organization Name:GREAT EXPECTATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGELKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-681-3427
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-0275
Mailing Address - Country:US
Mailing Address - Phone:913-681-3427
Mailing Address - Fax:
Practice Address - Street 1:28525 W 83RD ST
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:KS
Practice Address - Zip Code:66018-9612
Practice Address - Country:US
Practice Address - Phone:913-583-1996
Practice Address - Fax:913-583-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health