Active NPI
Momentum Agencies
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Northridge, CA
National Provider Identifier
1932448685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- MOMENTUM AGENCIES
- Practice address
- 18509 San Fernando Mission Blvd
Northridge, CA 91326-2434 - Phone
- (818) 366-2483
- Fax
- (818) 363-5770
- NPI assigned
- Jan 31, 2013
- Last updated
- Jul 29, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | CA | Primary |
Addresses
Primary practice location
18509 San Fernando Mission Blvd
Northridge, CA 91326-2434
Mailing address
6430 Independence Ave
Woodland Hills, CA 91367-2607
Phone (818) 782-2211
Other names 1
- UCP/SCF MISSION HOUSE
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 1932448685. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G495
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 MISSION
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Sep 3, 2004
- Last certification
- Oct 1, 2025
- Beds
- 6
- Ownership / control type
- Private (non-profit)
- Facility address
- 18509 San Fernando Mission Rd
Porter Ranch, CA 91326
National Provider Directory
National Provider Directory- Tax ID family
- Momentum Agencies
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Chatsworth, CA
- NPI 1003068594
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Northridge, CA
- NPI 1013169259
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Woodland Hills, CA
- NPI 1124063763
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sylmar, CA
- NPI 1154572782
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Chatsworth, CA
- NPI 1154573608
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Northridge, CA
- NPI 1316668916
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Granada Hills, CA
- NPI 1336391572
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Chatsworth, CA
- NPI 1457503948
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Chatsworth, CA
- NPI 1467604959
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sylmar, CA
- NPI 1477705416
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Sylmar, CA
- NPI 1518118082
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Lomita, CA
- NPI 1518119775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659052800000",
"number": "1932448685",
"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": "818-704-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18509 SAN FERNANDO MISSION BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913262434",
"telephone_number": "818-366-2483",
"fax_number": "818-363-5770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM AGENCIES",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-31",
"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": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UCP/SCF MISSION HOUSE",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "UCP/SCF MISSION HOUSE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.