Organization Active NPI

Momentum Home Care Health Network LLC

  • Home Health Agency
  • Newport News, VA
National Provider Identifier
1114435161
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOMENTUM HOME CARE HEALTH NETWORK LLC
Practice address
742 Thimble Shoals Blvd Ste C
Newport News, VA 23606-3561
Phone
(757) 828-4054
Fax
(757) 828-3667
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Marcus Johnson
Title
President
Phone
(757) 828-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

742 Thimble Shoals Blvd Ste C
Newport News, VA 23606-3561

Mailing address

742 Thimble Shoals Blvd Ste C
Newport News, VA 23606-3561
Phone (757) 828-4054

Other names 1

  • Momentum Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Momentum Home Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1114435161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 THIMBLE SHOALS BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063561",
            "telephone_number": "757-828-4054",
            "fax_number": "757-828-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 THIMBLE SHOALS BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063561",
            "telephone_number": "757-828-4054",
            "fax_number": "757-828-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM HOME CARE HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-828-4054"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.