# MOMENTUM HOME HEALTH IDAHO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396621850
- **Authorized official:** BRIDGER BOYD CARPENTER RN-BSN (ADMINISTRATOR/CLINICAL MANAGER)
- **Authorized official phone:** (208) 569-5389

## Contact information

- **Practice address:** 410 MEMORIAL DR STE 202, IDAHO FALLS, ID 83402-3607
- **Practice address phone:** (208) 480-1718
- **Practice address fax:** (208) 480-1737
- **Mailing address:** 410 MEMORIAL DR STE 202, IDAHO FALLS, ID 83402-3607
- **Mailing address phone:** (208) 480-1718
- **Mailing address fax:** (208) 480-1737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 07/24/2026