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Individual provider Active NPI Chore Provider · Bellevue, NE

NPI 1700685641 · NPPES record last updated Mar 12, 2025

Key facts

NPI
1700685641
Entity type
Individual (NPI type 1)
Primary specialty
Chore Provider 372500000X
Practice address
1916 Raven Ridge Dr
Bellevue, NE 68123-4650
Phone
(531) 255-8248
NPI assigned
Mar 12, 2025
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
KMF Home Care LLC Chore Provider Current
since Mar 20, 2025
Accepting new patients

Locations

3031 N 93rd St
Omaha, NE 68134
Phone (402) 955-9166

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X Yes

Addresses

Primary practice location

1916 Raven Ridge Dr
Bellevue, NE 68123-4650

Mailing address

3031 N 93Rd St
Omaha, NE 68134-4715
Phone (531) 800-5326

Other providers in Bellevue, NE

All providers in Bellevue, NE · Chore Provider in Nebraska

Sources for this page

Verify at the official NPI Registry.