Mommas Light LLC
Clinic/Center in Huntingtown, MD. Organization (NPI-2).
NPI number1104773647
StatusActive
Last updated in NPPESMar 13, 2026
Details
- NPI
- 1104773647
- Entity type
- Organization (NPI-2)
- Legal business name
- Mommas Light LLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2026
- Certification date
- Mar 13, 2026
- Last updated
- Mar 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
3501 Fortuna CtHuntingtown, MD 20639-4202
Phone 717-433-3617
Mailing address
3501 Fortuna CtHuntingtown, MD 20639-4202
Phone 717-433-3617
Authorized official
Jennifer Anderson
Owner/Speech Pathologist
7174333617
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