Organization Active NPI

S.T.C. Medicus Enterprises, LLC

Doing business as Momentum Health Care Services

  • Home Health Agency
  • Beaumont, TX
National Provider Identifier
1659611952
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
S.T.C. MEDICUS ENTERPRISES, LLC
Doing business as
Momentum Health Care Services
Practice address
4347 Phelan Blvd Ste 102
Beaumont, TX 77707-2159
Phone
(409) 291-8880
Fax
(409) 291-8829
NPI assigned
Feb 22, 2013
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Mr. Saul Avila, C.R.T
Title
President
Phone
(409) 291-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

4347 Phelan Blvd Ste 102
Beaumont, TX 77707-2159

Mailing address

4347 Phelan Blvd Ste 102
Beaumont, TX 77707-2159
Phone (409) 291-8880

Other names 1

  • Momentum Health Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Momentum Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4347 Phelan Blvd
Ste 102
Beaumont, TX 77707
Phone (409) 291-8880

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1659611952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-291-8880",
            "fax_number": "409-291-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-291-8880",
            "fax_number": "409-291-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.T.C. MEDICUS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-291-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.R.T"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.