# KMB HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KMB Home Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184401168
- **Authorized official:** BREANNA RAE SMITH (OWNER)
- **Authorized official phone:** (623) 258-5162

## Contact information

- **Practice address:** 2754 E CLARENE DR, MERIDIAN, ID 83646-8030
- **Practice address phone:** (623) 258-5162
- **Mailing address:** 2754 E CLARENE DR, MERIDIAN, ID 83646-8030
- **Mailing address phone:** (623) 258-5162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 372500000X | Chore Provider | — | NULL | — |
| 372500000X | Chore Provider | — | — | — |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 04/10/2025