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NPI Code Detail

MEDICARE: KNOTT YOUR AVERAGE COMMUNITY CARE LLC

MEDICARE: KNOTT YOUR AVERAGE COMMUNITY CARE LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1487587820
Entity Type Code : Organization
Provider Name (Legal Business Name) : KNOTT YOUR AVERAGE COMMUNITY CARE LLC
Provider Business Mailing Address
First Line : 3965 GREENFORD AVE SW
Second Line :
City : MASSILLON
State : OH
Zip : 44646-8806
Country : US
Telephone Number : 234-788-6650
Fax Number :
Provider Business Practice Location Address
First Line : 3965 GREENFORD AVE SW
Second Line :
City : MASSILLON
State : OH
Zip : 44646-8806
Country : US
Telephone Number : 234-788-6650
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : SHERI YEARIAN
Credential :
Telephone Number : 234-788-6650
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “KNOTT YOUR AVERAGE COMMUNITY CARE LLC ” Practice Location

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