Active NPIOrganization

Moma Premium Services LLC

In Home Supportive Care in West Haven, Connecticut

NPI Number1629903265
Practice location
104 David St, West Haven, CT 06516-1201
Fax
203-507-3730
Last updated
June 16, 2026

Moma Premium Services LLC is a healthcare organization based in West Haven, CT. Moma Premium Services LLC practices in West Haven, CT. The NPI Number for Moma Premium Services LLC is 1629903265. The current practice location address for Moma Premium Services LLC is 104 David St, West Haven, CT 06516-1201 and can be reached out via phone at 203-507-3730 and via fax at 203-507-3730.

Provider Profile Details

NPI Number
1629903265
Provider Name
Moma Premium Services LLC
Provider Entity Type
Organization
Address
104 David St, West Haven, CT 06516-1201
Phone Number
203-507-3730
Fax Number
203-507-3730
Primary Taxonomy
In Home Supportive Care · 253Z00000X
Organization Subpart
No
Authorized Official
Ahoua Cisse · Owner · 203-507-3730
Provider Enumeration Date
June 16, 2026
Last Update Date
June 16, 2026
Certification Date
June 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 David St
West Haven, CT 06516-1201
Zip
06516-1201
Phone Number
203-507-3730
Fax Number
203-507-3730
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
104 David St
West Haven, CT 06516-1201
City
West Haven
State
CT
Zip
06516-1201
Phone Number
203-507-3730
Fax Number
203-507-3730

License Information

Taxonomy
In Home Supportive Care · 253Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Moma Premium Services LLC?

The NPI number of Moma Premium Services LLC is 1629903265. It was assigned on June 16, 2026 and is currently active in the NPPES registry.

What is the specialty of Moma Premium Services LLC?

Moma Premium Services LLC is registered under the primary taxonomy In Home Supportive Care (code 253Z00000X).

Where does Moma Premium Services LLC practice?

The practice location is 104 David St, West Haven, CT 06516-1201. The office can be reached at 203-507-3730 (phone) or 203-507-3730 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629903265 directly on the NPPES registry website.

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