Provider Demographics
NPI:1619477841
Name:MOMS IN MOTION, INC.
Entity Type:Organization
Organization Name:MOMS IN MOTION, INC.
Other - Org Name:AT HOME YOUR WAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-417-0908
Mailing Address - Street 1:115 CHESTER ST STE B
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3308
Mailing Address - Country:US
Mailing Address - Phone:800-417-0908
Mailing Address - Fax:703-468-4958
Practice Address - Street 1:115 CHESTER ST STE B
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3308
Practice Address - Country:US
Practice Address - Phone:800-417-0908
Practice Address - Fax:703-468-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA172046659Medicaid