Provider Demographics
NPI:1083580856
Name:MOMENTUM HEALTH INDUSTRIES INC
Entity type:Organization
Organization Name:MOMENTUM HEALTH INDUSTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASPER
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-755-2777
Mailing Address - Street 1:555 N 13TH ST STE A-11
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3431
Mailing Address - Country:US
Mailing Address - Phone:479-755-2777
Mailing Address - Fax:479-259-1869
Practice Address - Street 1:555 N 13TH ST STE A-11
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3431
Practice Address - Country:US
Practice Address - Phone:479-755-2777
Practice Address - Fax:479-259-1869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care