Organization Active NPI

Momentum Agencies

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lomita, CA
National Provider Identifier
1518119775
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MOMENTUM AGENCIES
Practice address
1729 252ND St
Lomita, CA 90717-1911
Phone
(310) 326-0089
Fax
(310) 326-8127
NPI assigned
Oct 21, 2008
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Kimberly Marotta
Title
Accounts Receivable Manager
Phone
(818) 782-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1729 252ND St
Lomita, CA 90717-1911

Mailing address

6430 Independence Ave
Woodland Hills, CA 91367-2607
Phone (818) 782-2211

Other names 1

  • UCP/SCF HARBOR Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518119775. Details of each certification follow.

  • CCN 05G285 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G285

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MOMENTUM AGENCIES ICF/DD-H HARBOR
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 1, 1990
Last certification
Jun 25, 2025
Beds
15
Ownership / control type
State
Facility address
1729 West 252ND Street
Lomita, CA 90717

National Provider Directory

National Provider Directory
Tax ID family
Momentum Agencies24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

1729 252nd St
Lomita, CA 90717
Phone (310) 326-0089

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1518119775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 INDEPENDENCE AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672607",
            "telephone_number": "818-782-2211",
            "fax_number": "818-909-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 252ND ST",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171911",
            "telephone_number": "310-326-0089",
            "fax_number": "310-326-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM AGENCIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "MAROTTA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "818-782-2211"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP/SCF HARBOR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UCP/SCF HARBOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lomita, CA

Sources for this page

Verify at the official NPI Registry.