Momba Home Care Idaho, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MOMBA HOME CARE IDAHO, LLC

Practice address

950 W Bannock St Ste 1100
Boise, ID 83702-6140

Phone

(800) 553-3495

NPI assigned

Jul 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elazar Huisman

Title

Npi Manager

Phone

(404) 418-7484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1346078656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERIMETER CENTER TER NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461201",
            "telephone_number": "800-553-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W BANNOCK ST STE 1100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026140",
            "telephone_number": "800-553-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMBA HOME CARE IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "HUISMAN",
        "authorized_official_first_name": "ELAZAR",
        "authorized_official_title_or_position": "NPI MANAGER",
        "authorized_official_telephone_number": "404-418-7484"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kally Mohlke, RD, LD
• Caitlin Mohr, M.D.
• John J Mohr, M.D.
• Molly and Me Counseling and Training Center
• Michael Edward Molnar
• Jacob Momberger, MD
• Momentum Medical Group of Idaho LLC
• Jake Kotr Monaghan, FNP-C
• Julie Denita Monaghan, COTA/L
• Olivia Rose Monarres

• In Home Supportive Care Agency in Boise, ID
• Providers in Boise, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.