MOMENTUM (NPI# 1669774584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669774584 |
| Entity Type | Organization |
| Organization Name | MOMENTUM |
| Practice Address |
2001 The Alameda San Jose CA 95126-1136 |
| Mailing Address |
3193 Haga Dr San Jose CA 95111-2279 |
| Practice Telephone | 4082617777 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | JAIME ARANA (COUNSELOR 11) |
| Authorized Official Telephone | 4089039080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOMENTUM | 801 K St Ste 2702, Sacramento, CA 95814-3500 |
| Colorado Business Entities | Momentum | 600 Travis, Suite 4910, Houston, TX 77002 |
| Colorado Business Entities | MoMentum (1) Investment Group, LLC | 1203 12th Avenue, Greeley, CO 80631 |
| Colorado Business Entities | MoMentum (2) Investment Group, LLC | 1214 12th Street, Greeley, CO 80631 |
| Colorado Business Entities | MoMentum (3) Investment Group, LLC | 1210 12th Street, Greeley, CO 80631 |
| Colorado Business Entities | MoMentum (4) Investment Group, LLC | 1828 Glenmere Court, Greeley, CO 80631 |
| Colorado Business Entities | MoMentum (5) Investment Group, LLC | 3913 Belmont Avenue, Evans, CO 80620 |
| New York State Corporations | MOMENTUM 101, LLC | 137-12 232 Nd Street, Queens, New York 11413 |
| Colorado Business Entities | Momentum 14399, LLC | 7804 Silverweed Way, Lone Tree, CO 80124 |
| Colorado Business Entities | Momentum 24-7, LLC | 428 Wolverine Drive, Bayfield, CO 81122 |
| Street Address |
2001 THE ALAMEDA |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952406605 | Julius Howmin Fu | Psychiatry & Neurology | 2001 The Alameda, Alliance for Community Care, San Jose, CA 95126-1136 | 2006-09-14 |
| 1134727688 | Ruyi Sun | Counselor | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-15 |
| 1184222101 | Richard Doug Mills | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-12 |
| 1790382679 | Kathleen Devon Grey | Marriage & Family Therapist | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-10-05 |
| 1083220040 | Debra Lee Wilson | Registered Nurse | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-09-16 |
| 1750996724 | Stephanie Mary Neutz | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-09-15 |
| 1710590708 | Lerissa Evans | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-28 |
| 1629680921 | Amy Christina Vaverka | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-18 |
| 1558972695 | Jeannette Elizabeth Martello | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-12 |
| 1124639570 | Jennifer Alaimo | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477768588 | Ali Baba Corporation | Community Based Residential Treatment Facility, Mental Illness | 260 S 11th St, San Jose, CA 95112-2134 | 2007-05-11 |
| 1811024789 | Starlight Adolescent | Community Based Residential Treatment Facility, Mental Illness | 5858 Paddon Cir, San Jose, CA 95123-3522 | 2007-02-27 |
| 1922581297 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 1991 Park Ave, San Jose, CA 95126-1423 | 2018-09-12 |
| 1962855411 | Lifemoves - Julian Street Inn | Community Based Residential Treatment Facility, Mental Illness | 546 W Julian St, San Jose, CA 95110-2351 | 2016-07-20 |
| 1952635856 | Evans Lane Wellness and Recovery Center | Community Based Residential Treatment Facility, Mental Illness | 2090 Evans Ln, San Jose, CA 95125-2072 | 2009-09-24 |
| 1669605267 | Tami Thomason | Community Based Residential Treatment Facility, Mental Illness | 2001 The Alameda, San Jose, CA 95126-1136 | 2009-08-29 |
| 1174784169 | County of Santa Clara | Community Based Residential Treatment Facility, Mental Illness | 2090 Evans Ln, San Jose, CA 95125-2072 | 2008-06-23 |
| 1386852366 | Ali Baba Corporation | Community Based Residential Treatment Facility, Mental Illness | 101 Jose Figueres Ave, San Jose, CA 95116-2022 | 2007-05-21 |
| 1730394834 | Oasis Care, Inc. | Community Based Residential Treatment Facility, Mental Illness | 101 Jose Figueres Ave, San Jose, CA 95116 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
| 1154922458 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 24171 Grayston Dr, Lake Forest, CA 92630-3839 | 2020-11-03 |
| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.