MEDICARE: ABM HOME CARE

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1669328803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABM HOME CARE

Provider Business Mailing Address
First Line	:	11023 W SHELBORNE ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83709-1766
Country	:	US
Telephone Number	:	208-971-8153
Fax Number	:

Provider Business Practice Location Address
First Line	:	11023 W SHELBORNE ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83709-1766
Country	:	US
Telephone Number	:	208-971-8153
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	MUSTAFA M MBERWA
Credential	:
Telephone Number	:	208-971-8153

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ABM HOME CARE ” Practice Location

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