=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821256991
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KNAWLS,INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2008
-----------------------------------------------------
Last Update Date | 10/19/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5536 HORIZON DR
-----------------------------------------------------
City | NORMANDY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63121-1306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-319-1422
-----------------------------------------------------
Fax | 314-395-9079
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5536 HORIZON DR
-----------------------------------------------------
City | NORMANDY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63121-1306
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-319-1422
-----------------------------------------------------
Fax | 314-395-9075
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHAIRWOMAN
-----------------------------------------------------
Name | BEATRICE BASS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-319-1422
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 876090
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------