NPIMap

Organization Active NPI

Sa Healthcare Management LLC

Doing business as Momentum Health Management Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1609631712
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SA HEALTHCARE MANAGEMENT LLC
Doing business as
Momentum Health Management Services
Practice address
9500 Medical Center Dr Ste 107
Upper Marlboro, MD 20774-3701
Phone
(240) 609-5454
NPI assigned
Feb 19, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SA HEALTHCARE MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Ms. Sheena AlstonNPI 1821965971
Title
Ceo
Phone
(240) 609-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

9500 Medical Center Dr Ste 107
Upper Marlboro, MD 20774-3701

Mailing address

9500 Medical Center Dr Ste 107
Upper Marlboro, MD 20774-3701

Other names 1

  • MOMENTUM HEALTH MANAGEMENT SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sa Healthcare Management LLC3 organizations share this tax ID, including this one
Part of
Sa Healthcare Management LLC

Other organizations with this tax ID 2

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

Locations

9500 Medical Center Dr
Ste 107
Upper Marlboro, MD 20774
Phone (240) 539-2940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1609631712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 107",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 107",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743701",
            "telephone_number": "240-609-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA HEALTHCARE MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SA HEALTHCARE MANAGEMENT LLC",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-609-5454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOMENTUM HEALTH MANAGEMENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOMENTUM HEALTH MANAGEMENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.