Provider Demographics
NPI:1215738513
Name:MOMENTUM HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:MOMENTUM HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:MULKI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH-OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-987-5976
Mailing Address - Street 1:1400 PARK AVE UNIT 503
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-5565
Mailing Address - Country:US
Mailing Address - Phone:612-987-5976
Mailing Address - Fax:
Practice Address - Street 1:1400 PARK AVE UNIT 503
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-5565
Practice Address - Country:US
Practice Address - Phone:612-987-5976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health