MEDICARE: MOMENTUM SUPPORT SERVICES

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
1	385H00000X	Respite Care

General Provider Information

NPI Number	:	1245166248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOMENTUM SUPPORT SERVICES

Provider Business Mailing Address
First Line	:	2000 AUBURN DR STE 200
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4328
Country	:	US
Telephone Number	:	216-288-7596
Fax Number	:

Provider Business Practice Location Address
First Line	:	4280 SOM CENTER RD
Second Line	:
City	:	MORELAND HILLS
State	:	OH
Zip	:	44022-2314
Country	:	US
Telephone Number	:	216-288-7596
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DANIELLE LUMPKIN
Credential	:	MPA
Telephone Number	:	216-288-7596

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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