Healthcare Provider Details

I. General information

NPI: 1255252748
Provider Name (Legal Business Name): JOURNEY MOMENTUM AND GROWTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 PROVIDENCE HWY STE 3
NORWOOD MA
02062-4946
US

IV. Provider business mailing address

330 TRUMAN HWY
MILTON MA
02186-1025
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-3491
  • Fax:
Mailing address:
  • Phone: 570-807-7752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JUDLY SYLVAIN
Title or Position: MANAGER
Credential:
Phone: 508-233-3491