Provider Demographics
NPI:1821256991
Name:KNAWLS,INC.
Entity Type:Organization
Organization Name:KNAWLS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRWOMAN
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-319-1422
Mailing Address - Street 1:5536 HORIZON DR
Mailing Address - Street 2:
Mailing Address - City:NORMANDY
Mailing Address - State:MO
Mailing Address - Zip Code:63121-1306
Mailing Address - Country:US
Mailing Address - Phone:314-319-1422
Mailing Address - Fax:314-395-9075
Practice Address - Street 1:5536 HORIZON DR
Practice Address - Street 2:
Practice Address - City:NORMANDY
Practice Address - State:MO
Practice Address - Zip Code:63121-1306
Practice Address - Country:US
Practice Address - Phone:314-319-1422
Practice Address - Fax:314-395-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO876090251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO947792404Medicaid
MOM267792406Medicaid