MEDICARE: OLIVIA KNOCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1427764695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA KNOCH

Provider Business Mailing Address
First Line	:	5080 QUAIL HILL ST NW APT G
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-8420
Country	:	US
Telephone Number	:	330-705-0213
Fax Number	:

Provider Business Practice Location Address
First Line	:	5080 QUAIL HILL ST NW APT G
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-8420
Country	:	US
Telephone Number	:	330-705-0213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	02/17/2026

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Directions to “ OLIVIA KNOCH ” Practice Location

Language	Start Address	Practice Location

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