Vintage Roots LLC

Organization Active NPI In Home Supportive Care Agency · Selma, IN

NPI 1043149727 · NPPES record last updated May 18, 2026

Key facts

NPI
1043149727
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
VINTAGE ROOTS LLC
Practice address
5401 S County Road 475 E
Selma, IN 47383-9679
Phone
(765) 748-3775
NPI assigned
May 18, 2026
Organization subpart
No

Authorized official

Name
Ashley Turner, RN
Title
Owner
Phone
(765) 748-3775

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

5401 S County Road 475 E
Selma, IN 47383-9679

Mailing address

5401 S County Road 475 E
Selma, IN 47383-9679
Phone (765) 748-3775

Other providers in Selma, IN

All providers in Selma, IN · In Home Supportive Care Agency in Indiana

Sources for this page

Verify at the official NPI Registry.