Provider Demographics
NPI:1609649920
Name:MOMINA SERVICES LLC
Entity Type:Organization
Organization Name:MOMINA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAYDA
Authorized Official - Middle Name:NAZ
Authorized Official - Last Name:HAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-228-3063
Mailing Address - Street 1:690 PICAACHO DR
Mailing Address - Street 2:
Mailing Address - City:LA HABRA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90631-8023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:690 PICAACHO DR
Practice Address - Street 2:
Practice Address - City:LA HABRA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:90631-8023
Practice Address - Country:US
Practice Address - Phone:562-228-3063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility