Kolisha Graves

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

9281 Kansas Ave
Omaha, NE 68122-2528

Phone

(470) 856-2872

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1497567366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9281 KANSAS AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681222528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9281 KANSAS AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681222528",
            "telephone_number": "470-856-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "KOLISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celyce Beverly Graves
• Christopher Manvell Graves
• Corey Graves
• Corey Graves
• Jennifer Graves
• Lyndon Graves, OD
• Michael Connall Graves, DO
• Nariiah Graves
• Natalie Graves
• Shaunna Graves

• In Home Supportive Care Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• In Home Supportive Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.