Healthcare Provider Details

I. General information

NPI: 1548894819
Provider Name (Legal Business Name): MOMENTUM HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1739 13TH ST STE 113
HEMPSTEAD TX
77445-5922
US

IV. Provider business mailing address

515A S FRY RD # 306
KATY TX
77450-2214
US

V. Phone/Fax

Practice location:
  • Phone: 713-480-3534
  • Fax: 832-974-4122
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSALYN RUFFIN
Title or Position: PRESIDENT
Credential:
Phone: 713-480-3534