Country Roots Home Care LLC
Organization Active NPI In Home Supportive Care Agency · Belleville, KS
NPI 1093620502 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1093620502
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- COUNTRY ROOTS HOME CARE LLC
- Practice address
- 1806 M St. Suite 206
Belleville, KS 66935-2206 - Phone
- (316) 284-1046
- NPI assigned
- Aug 18, 2026
- Organization subpart
- No
Authorized official
- Name
- Elisa Miranda Cottenmyre
- Title
- Owner/Administrator
- Phone
- (316) 284-1046
National Provider Directory
Locations
1806 M St
Ste 206
Belleville, KS 66935
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1806 M St. Suite 206
Belleville, KS 66935-2206
Mailing address
1806 M St. Suite 206
Belleville, KS 66935-2206
Phone (316) 284-1046
Other providers in Belleville, KS
- Angela Bunger
- Central Plains Respiratory & Medical, LLC
- Joshua Chapman
- Jared Collette
- Keith Roger Cook
- County of Republic
- County of Republic
- Courser Lapo Inc
- Kevin L Couture
- Crossroads Pharmacy Inc
All providers in Belleville, KS · In Home Supportive Care Agency in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.