Active NPI
Su Ji
- Chore Provider
- Omaha, NE
National Provider Identifier
1174473276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 17807 Burdette St
Omaha, NE 68116-2965 - Phone
- (531) 800-5326
- NPI assigned
- Jan 29, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
17807 Burdette St
Omaha, NE 68116-2965
Mailing address
3031 N 93Rd St
Omaha, NE 68134-4715
Phone (531) 800-5326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KMF Home Care LLC | Chore Provider | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1174473276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 N 93RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344715",
"telephone_number": "531-800-5326",
"fax_number": "531-800-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17807 BURDETTE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681162965",
"telephone_number": "531-800-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JI",
"first_name": "SU",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-01-29",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.