Organization Active NPI

Kinbound Home Care

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1225949639
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KINBOUND HOME CARE
Practice address
3625 N 104TH Ave Apt 10
Omaha, NE 68134-7708
Phone
(531) 541-3770
Fax
(531) 541-3770
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Kiontray Davis
Title
Owner
Phone
(531) 541-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3625 N 104TH Ave Apt 10
Omaha, NE 68134-7708

Mailing address

3625 N 104TH Ave Apt 10
Omaha, NE 68134-7708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1225949639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 N 104TH AVE APT 10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681347708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N 104TH AVE APT 10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681347708",
            "telephone_number": "531-541-3770",
            "fax_number": "531-541-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINBOUND HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIONTRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "531-541-3770"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "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 Sep 15, 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.

Verify at the official NPI Registry.