MOMENTUM 180 LLC


Address: 700 Mobjack Pl Ste 201, Newport News, VA 23606-1957
Phone: 7575091287

MOMENTUM 180 LLC (NPI# 1730794603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730794603
Entity Type Organization
Organization Name MOMENTUM 180 LLC
Practice Address 700 Mobjack Pl Ste 201
Newport News
VA 23606-1957
Mailing Address 49 Rutland Dr
Hampton
VA 23666-2688
Practice Telephone 7575091287
Mailing Telephone 7576360884
Enumeration Date 2020-09-09
Last Update Date 2020-09-10
Authorized Official Name MR. DWAYNE LAMONT WILSON (OWNER)
Authorized Official Telephone 7576360884
Authorized Official Credential BS, QDDP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Office Location

Street Address 700 MOBJACK PL STE 201
City NEWPORT NEWS
State VA
Zip Code 23606-1957

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1447732870 Jean Ann Kimbrel Counselor 105 Nat Turner Blvd, Newport News, VA 23606 2018-09-01
1649762816 Paige Tretter Physical Therapist Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 2018-06-04
1447753959 Milov Margaret Sonnier Social Worker 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 2018-03-10
1033627740 F&n Home Health Agency, LLC Home Health 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 2018-01-16
1962858944 Helen G Arnold Family Medicine 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 2016-05-10
1780089474 Emily Giordano Occupational Therapist 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 2014-10-24
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063046159 Progressive Steps Family Services LLC Day Training, Developmentally Disabled Services 700 Lombardy Ave Apt 7413, Newport News, VA 23606-3368 2020-02-27
1538621396 Five Star Residential Day Support Day Training, Developmentally Disabled Services 902 Lucas Creek Rd, Newport News, VA 23608-2749 2019-04-02
1356876965 S and P Consultants LLC. Day Training, Developmentally Disabled Services 760 Verlander Ct, Newport News, VA 23608-2262 2017-04-21
1982703708 Fammat (family Matters) Services LLC Day Training, Developmentally Disabled Services 813 Forrest Dr, Suite 1, Newport News, VA 23606-4513 2006-09-21
1871920421 Beyond Disabilities, LLC Day Training, Developmentally Disabled Services 12388 Warwick Blvd, Suite 311-c, Newport News, VA 23606-3850 2013-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366043317 Golgota Health Services Inc Day Training, Developmentally Disabled Services 4216 Evergreen Ln Ste 133, Annandale, VA 22003-3256 2020-11-05
1336755917 Leap of Faith Adult Services LLC Day Training, Developmentally Disabled Services 528 Virginia Ave, Petersburg, VA 23803-5759 2020-09-19
1285243626 The Arc of Harrisonburg and Rockingham Inc. Day Training, Developmentally Disabled Services 620 Simms Ave, Harrisonburg, VA 22802-4813 2020-07-30
1316565351 Riverside Counseling and Consulting Day Training, Developmentally Disabled Services 4 S 1st St, Richmond, VA 23219-3717 2020-07-07
1578185807 Artis Transitions Inc Day Training, Developmentally Disabled Services 217 W Beverley St, Staunton, VA 24401-4206 2020-05-08
1629602891 The Gates of Beautiful LLC Day Training, Developmentally Disabled Services 7839 Ashton Ave, Manassas, VA 20109-2883 2020-02-26
1386288041 Azarel Community Support, LLC Day Training, Developmentally Disabled Services 112 Brandon Rd, Richmond, VA 23224-1212 2019-11-05
1831732312 The Branch Community Group Day Training, Developmentally Disabled Services 24293 Lankford Highway, Tasley, VA 23441 2019-10-28
1700427739 Hill Support Services, LLC. Day Training, Developmentally Disabled Services 1573 Oakland Chase Pkwy, Richmond, VA 23231-5745 2019-10-01
1821658147 Lerlena Jeannette Thomas Day Training, Developmentally Disabled Services 4613 Chester Square Rd, Chester, VA 23831-1726 2019-06-18
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Competitor

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City NEWPORT NEWS
Zip Code 23606

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Dataset Information

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.

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