Healthcare Provider Details

I. General information

NPI: 1831013416
Provider Name (Legal Business Name): MOMENTUM HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N FEDERAL HWY STE 210-49
BOCA RATON FL
33431-5187
US

IV. Provider business mailing address

4400 N FEDERAL HWY STE 210-49
BOCA RATON FL
33431-5187
US

V. Phone/Fax

Practice location:
  • Phone: 561-617-7212
  • Fax:
Mailing address:
  • Phone: 561-617-7212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. JEAN R METELLUS
Title or Position: MANAGER
Credential:
Phone: 561-617-7212