Organization
ROOTS COMMUNITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONDA TAYLOR (OWNER)
(414) 544-5656
Entity
Organization
Contact information
Practice address
2600 52ND AVE S STE 200, FARGO, ND 58104-7192
(414) 544-5656
Mailing address
3912 7TH ST S, MOORHEAD, MN 56560-5642
(414) 544-5656
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/01/2025
Last updated
10/01/2025
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