Healthcare Provider Details

I. General information

NPI: 1871178913
Provider Name (Legal Business Name): KB HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W 2ND ST
MC COOK NE
69001-3607
US

IV. Provider business mailing address

PO BOX 614
MC COOK NE
69001-0614
US

V. Phone/Fax

Practice location:
  • Phone: 308-350-1008
  • Fax: 308-344-9406
Mailing address:
  • Phone: 308-350-1008
  • Fax: 308-344-9406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BILLIE J COLE
Title or Position: OWNER
Credential:
Phone: 308-350-1008