Provider Demographics
NPI:1104565126
Name:MOTO HEALTH CORP
Entity type:Organization
Organization Name:MOTO HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUILIT
Authorized Official - Middle Name:
Authorized Official - Last Name:NSEKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-567-2036
Mailing Address - Street 1:18608 E VASSAR DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-6467
Mailing Address - Country:US
Mailing Address - Phone:720-341-6689
Mailing Address - Fax:
Practice Address - Street 1:18608 E VASSAR DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-6467
Practice Address - Country:US
Practice Address - Phone:720-341-6689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services