Provider Demographics
NPI:1982283909
Name:MOMENTUS HEALTH HOLDINGS LLC
Entity Type:Organization
Organization Name:MOMENTUS HEALTH HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:DAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-310-0610
Mailing Address - Street 1:1341 W MOCKINGBIRD LN # 214W
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6913
Mailing Address - Country:US
Mailing Address - Phone:214-310-0610
Mailing Address - Fax:866-740-7952
Practice Address - Street 1:1341 W MOCKINGBIRD LN # 214W
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6913
Practice Address - Country:US
Practice Address - Phone:214-310-0610
Practice Address - Fax:866-740-7952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty