Active NPI
Rooted Within LLC
- Mental Illness Community Based Residential Treatment Facility
- Concord, NC
National Provider Identifier
1144083064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- ROOTED WITHIN LLC
- Practice address
- 711 Sylvan St SW
Concord, NC 28025-5690 - Phone
- (202) 873-3119
- NPI assigned
- Feb 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharne Owensby
- Title
- Executive Director
- Phone
- (202) 873-3119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
711 Sylvan St SW
Concord, NC 28025-5690
Mailing address
400 Gilead Rd PO Box 19
Huntersville, NC 28078
Phone (202) 873-3119
National Provider Directory
National Provider DirectoryLocations
400 Gilead Rd
Huntersville, NC 28078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1144083064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GILEAD RD PO BOX 19",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "28078",
"telephone_number": "202-873-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 SYLVAN ST SW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255690",
"telephone_number": "202-873-3119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED WITHIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "OWENSBY",
"authorized_official_first_name": "SHARNE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "202-873-3119"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.