Momentum 180 Llc

LBN: Momentum 180 Llc
Momentum 180 Llc is an health care organization with primary practice located at 739 Thimble Shoals Blvd Ste 503 , Newport News VA 23606-3562. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Momentum 180 Llc can be contacted via phone (757) 782-4220, or through Wilson, Dwayne Lamont via phone (757) 636-0884.

Contact Information

Primary practice address
739 Thimble Shoals Blvd Ste 503 Newport News VA 23606-3562
Phone: (757) 782-4220
Fax: (757) 942-2321
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Dwayne Lamont BS, QDDP
Phone: (757) 636-0884

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1730794603
LBN Legal business name Momentum 180 Llc
DBA Doing business as
Authorized official Wilson, Dwayne Lamont BS, QDDP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2020
Last updated Jul 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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