Provider Demographics
NPI:1376202473
Name:ABM HOME CARE LLC
Entity Type:Organization
Organization Name:ABM HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELESE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-210-8768
Mailing Address - Street 1:1005 S JAMAICA ST APT 201
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1005 S JAMAICA ST APT 201
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3142
Practice Address - Country:US
Practice Address - Phone:720-210-8768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health