Provider Demographics
NPI:1922330026
Name:MOMENTUM ADVANCED HEALTHCARE, INC
Entity Type:Organization
Organization Name:MOMENTUM ADVANCED HEALTHCARE, INC
Other - Org Name:IN-HOMECARE AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:TETANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-334-2300
Mailing Address - Street 1:830 JULIE RIVERS DR STE 803
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2878
Mailing Address - Country:US
Mailing Address - Phone:713-334-2300
Mailing Address - Fax:713-334-3011
Practice Address - Street 1:830 JULIE RIVERS DR STE 803
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2878
Practice Address - Country:US
Practice Address - Phone:713-334-2300
Practice Address - Fax:713-334-3011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health