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NPI Code Detail

MEDICARE: MOMENTUM HOME HEALTH SERVICES INC.

MEDICARE: MOMENTUM HOME HEALTH SERVICES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency010799TX

General Provider Information

NPI Number : 1053356626
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOMENTUM HOME HEALTH SERVICES INC.
Provider Business Mailing Address
First Line : 7457 HARWIN DR
Second Line : SUITE 136
City : HOUSTON
State : TX
Zip : 77036-2018
Country : US
Telephone Number : 281-931-5939
Fax Number : 281-498-0001
Provider Business Practice Location Address
First Line : 7457 HARWIN DR
Second Line : SUITE 136
City : HOUSTON
State : TX
Zip : 77036-2018
Country : US
Telephone Number : 281-931-5939
Fax Number : 281-498-0001
Authorized Official
Title or Position : OWNER/ALTERNATEADMINISTRATOR
Name : MRS. AMENZE IDIAGHE
Credential :
Telephone Number : 281-931-5939
Provider Enumeration Date : 06/18/2006
Last Update Date : 04/09/2015

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Directions to “MOMENTUM HOME HEALTH SERVICES INC. ” Practice Location

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