Moma Premium Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MOMA PREMIUM SERVICES LLC

Practice address

104 David St
West Haven, CT 06516-1201

Phone

(203) 507-3730

Fax

(203) 507-3730

NPI assigned

Jun 16, 2026

Organization subpart

No

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

Authorized official

Name

Ahoua Cisse

Title

Owner

Phone

(203) 507-3730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1629903265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DAVID ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161201",
            "telephone_number": "203-507-3730",
            "fax_number": "203-507-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DAVID ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161201",
            "telephone_number": "203-507-3730",
            "fax_number": "203-507-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMA PREMIUM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "CISSE",
        "authorized_official_first_name": "AHOUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-507-3730"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Misuraca, ACNPC-AG
• Lorena Rivera Mitchell, LCSW
• Frances Vincent Mobilio, APRN
• Theresa A Molisse, M.D.
• Courtney G Moller, PA
• Jessica Monteiro, LMT, CMLDT
• Tekenya Monteiro, MSW
• Donna M Montesi, APRN
• Charra Monyae Moore
• David Thomas Moore, M.D., PH.D

• In Home Supportive Care Agency in West Haven, CT
• Providers in West Haven, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.