Provider Demographics
NPI:1053356626
Name:MOMENTUM HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:MOMENTUM HOME HEALTH SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ALTERNATEADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMENZE
Authorized Official - Middle Name:
Authorized Official - Last Name:IDIAGHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-931-5939
Mailing Address - Street 1:7457 HARWIN DR
Mailing Address - Street 2:SUITE 136
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2018
Mailing Address - Country:US
Mailing Address - Phone:281-931-5939
Mailing Address - Fax:281-498-0001
Practice Address - Street 1:7457 HARWIN DR
Practice Address - Street 2:SUITE 136
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2018
Practice Address - Country:US
Practice Address - Phone:281-931-5939
Practice Address - Fax:281-498-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010799251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health