Momentous Adult Foster Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MOMENTOUS ADULT FOSTER CARE

Doing business as

Momentous

Practice address

6102 E Timrod St
Tucson, AZ 85711-4664

Phone

(520) 222-2335

NPI assigned

Nov 30, 2020

Last updated

Nov 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Connie Marie Wilson, MANAGER OF ASSISTED

Title

Owner

Phone

(520) 222-2335

Specialties & licenses 1

Addresses

Other names 1

• Momentous Doing business as

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1265036230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 E TIMROD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114664",
            "telephone_number": "520-222-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 E TIMROD ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114664",
            "telephone_number": "520-222-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6102 E Timrod St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857114664",
            "country_code": "US",
            "telephone_number": "520-222-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOMENTOUS ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-222-2335",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGER OF ASSISTED"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentous",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mollen Travel Vaccines, PLLC (Passport Health)
• Lea Mollon
• Frank Ernst Molls, MD
• Ernesto P Molmenti, MD, PHD
• Momentum Health Care PC
• Lucas Momeyer
• Monica Momin, DDS
• Sassan Momtazbakhsh, MD
• Alison Mary Monahan, MD

• Adult Care Home Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.