MOMENTUM RECOVERY CENTER, PLLC (NPI# 1619381159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619381159 |
| Entity Type | Organization |
| Organization Name | MOMENTUM RECOVERY CENTER, PLLC |
| Practice Address |
100 Eastside Dr Suite B Georgetown KY 40324-9797 |
| Practice Telephone | 5028687272 |
| Practice Fax Number | 5028687273 |
| Mailing Telephone | 5028687272 |
| Mailing Fax Number | 5028687273 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |
| Authorized Official Name | DR. STEPHEN J KRONENBERG (CO OWNER) |
| Authorized Official Telephone | 5028687272 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
100 EASTSIDE DR SUITE B |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740399914 | Richard Dale Vallotton | Chiropractor | 100 Eastside Dr, Georgetown, KY 40324-9797 | 2006-08-30 |
| 1215481122 | Lct Chiropractic Pllc | Chiropractor | 100 Eastside Dr, Georgetown, KY 40324-9797 | 2016-08-09 |
| 1063876142 | Melissa Ann Partin | Counselor | 100 Eastside Dr, Georgetown, KY 40324 | 2016-04-05 |
| 1376965855 | Sarah E. Ayers | Chiropractor | 100 Eastside Dr, Georgetown, KY 40324-9797 | 2014-01-17 |
| 1457773152 | Lct Chiropractic Pllc | Durable Medical Equipment & Medical Supplies | 100 Eastside Dr, Georgetown, KY 40324-9797 | 2014-01-15 |
| 1568737682 | Gary Mitchell | Chiropractor | 100 Eastside Dr, Georgetown, KY 40324-9797 | 2012-03-22 |
| 1235438151 | S and R Medical Enterprises, LLC | Registered Nurse | 100 Eastside Dr, Suite B, Georgetown, KY 40324-9797 | 2011-03-17 |
| 1548499031 | Landon Christopher Taylor | Chiropractor | 100 Eastside Dr, Georgetown, KY 40324-9797 | 2009-07-06 |
| 1922279132 | Durable Medical Supply Home Health Inc. | Durable Medical Equipment & Medical Supplies | 100 Eastside Dr, Suite A, Georgetown, KY 40324-9797 | 2008-03-14 |
| 1275686560 | Yolanda Alicia Petocchi | Chiropractor | 100 Eastside Dr, Georgetown, KY 40324-9797 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1417463274 | The Timothy Center, Inc. | Clinic/Center | 1333 W University Ave, Georgetown, TX 78628-5331 | 2017-12-15 |
| 1851440697 | Aquila of Delaware, Inc. | Clinic/Center | 6 N Railroad Ave, Georgetown, DE 19947-1242 | 2007-01-10 |
| 1316309073 | Pinnacle Treatment Centers Ky-i, LLC | Clinic/Center | 105 Eastside Dr, Suites A, B, C, Georgetown, KY 40324-9797 | 2016-03-22 |
| 1104252956 | The Arbor West, LLC | Clinic/Center | 1443 County Road 103, Georgetown, TX 78626-3854 | 2013-09-24 |
| 1588927339 | Pinnacle Treatment Centers Ky-i, LLC | Clinic/Center | 3107 Cincinnati Rd, Georgetown, KY 40324-9505 | 2012-06-18 |
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|---|---|---|---|---|
| 1447858642 | Salem Health Care Group LLC | Clinic/Center | 501 North Hayden Avenue, Salem, KY 42028 | 2020-10-12 |
| 1053934836 | Roaring Brook LLC | Clinic/Center | 600 Perimeter Dr Ste 125, Lexington, KY 40517-4296 | 2020-05-27 |
| 1902442585 | Lake Cumberland Recovery, Inc | Clinic/Center | 8294 S Highway 27, Burnside, KY 42519-9412 | 2019-11-19 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1194295089 | Freedom Bridge To Recovery LLC | Clinic/Center | 1307 Magnolia St, Bowling Green, KY 42104-3050 | 2018-12-04 |
| 1619450186 | Pax House Inc. | Clinic/Center | 2305 Hurstbourne Village Dr Ste 600, Louisville, KY 40299-2875 | 2018-09-11 |
| 1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
| 1144723453 | Rose of Sharon House | Clinic/Center | 865 W Shelby St, Junction City, KY 40440-8502 | 2018-03-13 |
| 1477062487 | New Legacy Recovery LLC | Clinic/Center | 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 | 2017-09-21 |
| 1710426960 | The Liberty Ranch Rehabilitation Center | Clinic/Center | 2735 Ky Highway 501, Kings Mountain, KY 40442-9761 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
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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.