- Enrollment id
- O20110907000985
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1922330026
- Multiple npi flag
- N
- Ccn
- 747687
- Associate id
- 7315117058
- Organization name
- MOMENTUM ADVANCED HEALTHCARE, INC
- Doing business as name
- IN-HOMECARE AMERICA
- Incorporation date
- 2010-01-22
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 830 JULIE RIVERS DR
- Address line 2
- STE 703
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774782878