# KNOX COUNTY NON-MEDICAL HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063184877
- **Authorized official:** MR. WILLIAM SCOTT ROBERTSON (OWNER)
- **Authorized official phone:** (812) 681-0128

## Contact information

- **Practice address:** 82 THOMPSON DR, VINCENNES, IN 47591-5648
- **Practice address phone:** (812) 681-0128
- **Mailing address:** 82 THOMPSON DR, VINCENNES, IN 47591-5648
- **Mailing address phone:** (812) 681-0128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172A00000X | Driver | — | NULL | — |
| 172A00000X | Driver | — | — | — |
| 174200000X | Meals Provider | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 372500000X | Chore Provider | — | NULL | — |
| 372500000X | Chore Provider | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376G00000X | Nursing Home Administrator | — | NULL | — |
| 376G00000X | Nursing Home Administrator | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 09/30/2021
- **Last updated:** 10/01/2021