Project Momentum, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROJECT MOMENTUM, INC

Practice address

107 SE Main Street
Rocky Mount, NC 27801-5400

Phone

(252) 977-0765

Fax

(252) 977-0765

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Mysha Wynn

Title

Executive Director

Phone

(252) 977-0765

Specialties & licenses 3

Addresses

Tax ID family

Project Momentum Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Project Momentum, Inc.

  • Case Manager/Care Coordinator
  • Rocky Mount, NC
  • NPI 1881724854
  NPD tax ID

Locations

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1083924955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4053",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278030053",
            "telephone_number": "252-977-0765",
            "fax_number": "252-977-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE MAIN STREET",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015400",
            "telephone_number": "252-977-0765",
            "fax_number": "252-977-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT MOMENTUM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "MYSHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-977-0765"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina W Pringle, PT
• Phillip Anthony Pringle, CRTT
• Priority 1 Home Care Services
• Michelle Diane Privette, NP
• Progressive Care Services Inc
• Project Momentum, Inc.
• Providence Care
• Ryan Thomas Pruitt, DMD
• Pruitthealth Hospice, Inc.
• Bonnie Przelomski, M.S., R.D., L.D.N.

• Community/Behavioral Health Agency in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.