Organization Active NPI

Roots Healthcare and Homes, LLC

  • Case Management Agency
  • Memphis, TN
National Provider Identifier
1144739764
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ROOTS HEALTHCARE AND HOMES, LLC
Practice address
1150 Saunders Ave
Memphis, TN 38127-5229
Phone
(760) 270-3791
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Valarie B. Phillips, RN CCM
Title
President of Medical Management
Phone
(760) 270-3791

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Lodging Provider 177F00000X
Case Management Agency 251B00000X CA Primary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
Public Health or Welfare Agency 251K00000X
Cardiac Rehabilitation Clinic/Center 261QR0404X
Assisted Living Facility 310400000X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X

Addresses

Primary practice location

1150 Saunders Ave
Memphis, TN 38127-5229

Mailing address

292 Pickens Cir
Carthage, MS 39051-7982
Phone (760) 270-3791

Other practice location 1

3395 Sellers St
Memphis, TN 38127-5230
Phone (760) 270-3791

Other practice location 2

667 Bethal
Memphis, TN 38107
Phone (760) 270-3791

Other identifiers 1

IdentifierTypeStateIssuer
4785231OtherNO NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144739764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 PICKENS CIR",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390517982",
            "telephone_number": "760-270-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SAUNDERS AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275229",
            "telephone_number": "760-270-3791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3395 Sellers St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381275230",
            "country_code": "US",
            "telephone_number": "760-270-3791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "667 Bethal",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38107",
            "country_code": "US",
            "telephone_number": "760-270-3791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTS HEALTHCARE AND HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT OF MEDICAL MANAGEMENT",
        "authorized_official_telephone_number": "760-270-3791",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN CCM"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NUMBER",
            "identifier": "4785231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.