Active NPI
Knox County Non-Medical Home Health Care LLC
- Home Health Agency
- Vincennes, IN
National Provider Identifier
1063184877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KNOX COUNTY NON-MEDICAL HOME HEALTH CARE LLC
- Practice address
- 82 Thompson Dr
Vincennes, IN 47591-5648 - Phone
- (812) 681-0128
- NPI assigned
- Sep 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Scott Robertson
- Title
- Owner
- Phone
- (812) 681-0128
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Chore Provider | 372500000X | |||
| Home Health Aide | 374U00000X | |||
| Nursing Home Administrator | 376G00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
82 Thompson Dr
Vincennes, IN 47591-5648
Mailing address
82 Thompson Dr
Vincennes, IN 47591-5648
Phone (812) 681-0128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202101221454229 | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Modifications Contractor
- Vincennes, IN
- NPI 1306518261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633046400000",
"number": "1063184877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 THOMPSON DR",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475915648",
"telephone_number": "812-681-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 THOMPSON DR",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475915648",
"telephone_number": "812-681-0128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX COUNTY NON-MEDICAL HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-30",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-681-0128",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "372500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202101221454229",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
- Knox County Association for Retarded Citizens, Inc.
- Knox County Association for Retarded Citizens, Inc.
- Knox County EMS Inc
- Knox County Health Department
- Knox County Immunization Clinic
- Brandt David Kolb, PHARMD
- James A Koontz, MD
- Kimberly A Kotter, RN, BSN
- Kristy A Kruger, OT
- Brooklyn Taylor Kuhn, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.