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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