Organization Active NPI

Axiom Support Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Boise, ID
National Provider Identifier
1972429546
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
AXIOM SUPPORT SERVICES LLC
Practice address
10552 W Garverdale CT Ste 904
Boise, ID 83704-5478
Phone
(208) 701-4498
NPI assigned
Jun 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Mohsen Amirmojahedi
Title
Owner
Phone
(208) 701-4498

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

10552 W Garverdale CT Ste 904
Boise, ID 83704-5478

Mailing address

10552 W Garverdale CT Ste 904
Boise, ID 83704-5478
Phone (208) 701-4498

National Provider Directory

National Provider Directory

Locations

10552 W Garverdale Ct
Ste 904
Boise, ID 83704
Phone (208) 323-2010

NPI Registry JSON

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1972429546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 W GARVERDALE CT STE 904",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045478",
            "telephone_number": "208-701-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10552 W GARVERDALE CT STE 904",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045478",
            "telephone_number": "208-701-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "AMIRMOJAHEDI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-701-4498"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.