MEDICARE: KMF HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	376J00000X	Homemaker
3	251G00000X	Community Based Hospice Care Agency
4	372600000X	Adult Companion
5	3747P1801X	Personal Care Attendant
6	3747A0650X	Attendant Care Provider
7	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1407553852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KMF HOME CARE LLC

Provider Business Mailing Address
First Line	:	3031 N 93RD ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-4715
Country	:	US
Telephone Number	:	402-955-9166
Fax Number	:	402-882-5847

Provider Business Practice Location Address
First Line	:	3031 N 93RD ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68134-4715
Country	:	US
Telephone Number	:	402-955-9166
Fax Number	:	402-882-5847

Authorized Official
Title or Position	:	CEO
Name	:	LILLIAN CHONCLAY
Credential	:
Telephone Number	:	402-955-9166

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	11/24/2025

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Directions to “KMF HOME CARE LLC ” Practice Location

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