Organization
ROOTS HEALTHCARE AND HOMES, LLC
Active
Organization
ROOTS HEALTHCARE AND HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALARIE B. PHILLIPS RN CCM (PRESIDENT OF MEDICAL MANAGEMENT)
(760) 270-3791
Entity
Organization
Contact information
Practice address
1150 SAUNDERS AVE, MEMPHIS, TN 38127-5229
(760) 270-3791
Mailing address
292 PICKENS CIR, CARTHAGE, MS 39051-7982
(760) 270-3791
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
CA
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4785231
NO NUMBER
—
Enumeration date
09/26/2017
Last updated
03/17/2018
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