Healthcare Provider Details

I. General information

NPI: 1245166248
Provider Name (Legal Business Name): MOMENTUM SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4280 SOM CENTER RD
MORELAND HILLS OH
44022-2314
US

IV. Provider business mailing address

2000 AUBURN DR STE 200
BEACHWOOD OH
44122-4328
US

V. Phone/Fax

Practice location:
  • Phone: 216-288-7596
  • Fax:
Mailing address:
  • Phone: 216-288-7596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE LUMPKIN
Title or Position: DIRECTOR
Credential: MPA
Phone: 216-288-7596