Momentum Recovery Virginia LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MOMENTUM RECOVERY VIRGINIA LLC

Practice address

230 Chip Mill Road
Clintwood, VA 24228

Phone

(727) 666-4838

NPI assigned

Oct 31, 2025

Last updated

Jun 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John M Boggs

Title

Authorized Agent

Phone

(304) 972-8383

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1952270662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 66TH ST STE A-4",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHIP MILL ROAD",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "24228",
            "telephone_number": "727-666-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM RECOVERY VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "304-972-8383"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Howard Looney
• Lurton B Lyle, M.D.
• Timothy Patrick McCarty, PHARMD
• Amy Meade, PHARMD
• Samir Samuel Missak, MD
• Mountain States Health Alliance (Ballad Health Homecare)
• Mountain States Health Alliance (Ballad Health Hospice)
• Anthony Mullins, MA
• April Renee Mullins, BS
• Bethany Mullins, CCC-SLP

• Substance Abuse Rehabilitation Facility in Clintwood, VA
• Providers in Clintwood, VA by specialty
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.