MOMENTOUS RECOVERY GROUP LLC
NPI 1801585112
Substance Abuse Rehabilitation Facility in Northridge, CA

Q: What is Momentous Recovery Group LLC's NPI number?

The NPI number for Momentous Recovery Group LLC is 1801585112. It was assigned to this organization in the NPPES registry on May 3, 2023.

Q: What is Momentous Recovery Group LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since May 03, 2023CLIA 05D2288490 · Waiver

19642 BALLINGER ST, NORTHRIDGE, CA 91324(818) 626-9790 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 17, 2025, May 3, 2023 (2 updates tracked since 2023).

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About Momentous Recovery Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOMENTOUS RECOVERY GROUP LLC (NPI 1801585112) is a healthcare organization registered as a substance abuse rehabilitation facility in Northridge, California and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Vanessa Fenwick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801585112

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameMOMENTOUS RECOVERY GROUP LLC

Location Address19642 BALLINGER STNorthridge, CA 91324-2103

Mailing Address19642 Ballinger StNorthridge, CA 91324-2103 · (818) 617-5090

Phone(818) 626-9790

Organization SubpartNo

Authorized OfficialVanessa FenwickCeo · (818) 617-5090

Enumeration DateMay 3, 2023

Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1801585112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

19642 BALLINGER ST, Northridge, CA 91324

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2288490

Momentous Recovery Group LLC · Northridge, CA

Active · expires Aug 24, 2027

CLIA Number05D2288490

Laboratory TypeResidential Drug Treatmen

Certificate Effective DateAugust 25, 2025

Certificate Expiration DateAugust 24, 2027

Laboratory DirectorCourtney S. Scott

Laboratory Phone(818) 617-5090

Laboratory LocationMomentous Recovery Group LLC19642 Ballinger St, Northridge, CA 91324

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Momentous Recovery Group LLC's NPI number?

The NPI number for Momentous Recovery Group LLC is 1801585112. It was assigned to this organization in the NPPES registry on May 3, 2023.

Where is Momentous Recovery Group LLC located?

Momentous Recovery Group LLC is located at 19642 Ballinger St, Northridge, CA 91324. The listed phone number is (818) 626-9790.

What is Momentous Recovery Group LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Momentous Recovery Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2288490) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Momentous Recovery Group LLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.