Provider Demographics
NPI:1104175926
Name:IN THE MOMENT, INC.
Entity type:Organization
Organization Name:IN THE MOMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF QUALITY, SAFETY
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CPHRM
Authorized Official - Phone:770-360-5554
Mailing Address - Street 1:2999 PIEDMONT ROAD, 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2792
Mailing Address - Country:US
Mailing Address - Phone:404-254-2528
Mailing Address - Fax:404-343-3422
Practice Address - Street 1:2999 PIEDMONT ROAD, 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2792
Practice Address - Country:US
Practice Address - Phone:404-254-2528
Practice Address - Fax:404-343-3422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health