Active NPI
Momentum Home Health Idaho LLC
- Home Health Agency
- Idaho Falls, ID
National Provider Identifier
1396621850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MOMENTUM HOME HEALTH IDAHO LLC
- Practice address
- 410 Memorial Dr Ste 202
Idaho Falls, ID 83402-3607 - Phone
- (208) 480-1718
- Fax
- (208) 480-1737
- NPI assigned
- Aug 12, 2025
- Last updated
- Jul 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bridger Boyd Carpenter, RN-BSN
- Title
- Administrator/Clinical Manager
- Phone
- (208) 569-5389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
410 Memorial Dr Ste 202
Idaho Falls, ID 83402-3607
Mailing address
410 Memorial Dr Ste 202
Idaho Falls, ID 83402-3607
Phone (208) 480-1718
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2330276 | Momentum Home Health Idaho LLC | Certificate of waiver | Sep 11, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1396621850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 MEMORIAL DR STE 202",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023607",
"telephone_number": "208-480-1718",
"fax_number": "208-480-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 MEMORIAL DR STE 202",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023607",
"telephone_number": "208-480-1718",
"fax_number": "208-480-1737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM HOME HEALTH IDAHO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-12",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "BRIDGER",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "ADMINISTRATOR/CLINICAL MANAGER",
"authorized_official_telephone_number": "208-569-5389",
"authorized_official_credential": "RN-BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.