Active NPI
Roots Healthcare and Homes, LLC
- Case Management Agency
- Memphis, TN
National Provider Identifier
1144739764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4785231 | Other | NO NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.