Healthcare Provider Details

I. General information

NPI: 1275412991
Provider Name (Legal Business Name): KINSHIP IN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 ALASKA CIR
NORFOLK NE
68701-2161
US

IV. Provider business mailing address

1606 ALASKA CIR
NORFOLK NE
68701-2161
US

V. Phone/Fax

Practice location:
  • Phone: 402-984-6978
  • Fax:
Mailing address:
  • Phone: 402-984-6978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MARISSA SIMS
Title or Position: CO-OWNER
Credential:
Phone: 402-984-6978