MEDICARE: K HOME CARES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1982495115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K HOME CARES LLC

Provider Business Mailing Address
First Line	:	3055 OLD HIGHWAY 8 STE 111
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-2577
Country	:	US
Telephone Number	:	612-438-5047
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 OLD HIGHWAY 8 STE 111
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-2577
Country	:	US
Telephone Number	:	612-438-5047
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MOHAMMED ABUBEKER SALEM
Credential	:
Telephone Number	:	612-438-5047

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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Directions to “K HOME CARES LLC ” Practice Location

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