MEDICARE: AHAA MOMENT LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1720871254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHAA MOMENT LLC

Provider Business Mailing Address
First Line	:	1530 EAGLE NEST CIR
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 TOWN PLAZA CT STE 1020
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-6231
Country	:	US
Telephone Number	:	603-247-7659
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SARAH JENSEN
Credential	:
Telephone Number	:	603-247-7659

Provider Enumeration Date	:	05/27/2025
Last Update Date	:	10/29/2025

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