NPIMap

Organization Active NPI

KMB Home Care, LLC

  • In Home Supportive Care Agency
  • Meridian, ID
National Provider Identifier
1184401168
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KMB HOME CARE, LLC
Doing business as
KMB Home Care, LLC
Practice address
2754 E Clarene Dr
Meridian, ID 83646-8030
Phone
(623) 258-5162
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Breanna Rae SmithNPI 1447882899
Title
Owner
Phone
(623) 258-5162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X

Addresses

Primary practice location

2754 E Clarene Dr
Meridian, ID 83646-8030

Mailing address

2754 E Clarene Dr
Meridian, ID 83646-8030
Phone (623) 258-5162

Other names 1

  • KMB Home Care, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1184401168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 E CLARENE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836468030",
            "telephone_number": "623-258-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 E CLARENE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836468030",
            "telephone_number": "623-258-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMB HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-258-5162"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMB Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KMB Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.