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NPI Code Detail

MEDICARE: KNM HEALTHCARE SERVICES LLC

MEDICARE: KNM HEALTHCARE SERVICES 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
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1972467843
Entity Type Code : Organization
Provider Name (Legal Business Name) : KNM HEALTHCARE SERVICES LLC
Provider Business Mailing Address
First Line : 4681 SOUTHAIRE DR
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6123
Country : US
Telephone Number : 419-276-7944
Fax Number : 419-276-7944
Provider Business Practice Location Address
First Line : 4681 SOUTHAIRE DR
Second Line :
City : TOLEDO
State : OH
Zip : 43615-6123
Country : US
Telephone Number : 419-276-7944
Fax Number : 419-276-7944
Authorized Official
Title or Position : CO-OWNER
Name : QUINTELLA MITCHELL
Credential :
Telephone Number : 419-276-7944
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “KNM HEALTHCARE SERVICES LLC ” Practice Location

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