Organization Active NPI

Momentum Home Health Idaho LLC

  • Home Health Agency
  • Idaho Falls, ID
National Provider Identifier
1396621850
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2330276Momentum Home Health Idaho LLC410 Memorial Dr Ste 202, Idaho Falls, ID 83402Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.