Home Roots Liquid Wellness LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

HOME ROOTS LIQUID WELLNESS LLC

Practice address

70 W Chicago St
Coldwater, MI 49036-1606

Phone

(517) 279-2342

Fax

(517) 279-8324

NPI assigned

Oct 30, 2021

Organization subpart

No

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

Authorized official

Name

Amanda Jo Burritt, RN

Title

Owner

Phone

(517) 279-2342

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635552000000",
    "number": "1164186698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361606",
            "telephone_number": "517-279-2342",
            "fax_number": "517-279-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361606",
            "telephone_number": "517-279-2342",
            "fax_number": "517-279-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ROOTS LIQUID WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A",
        "authorized_official_last_name": "BURRITT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-279-2342",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holicki Eye Centers, P.C.
• Holicki Optical Inc
• Joseph Peter Holicki, DO
• Madeleine J Holicki, OD
• Home Roots Companion & Home Health Services, LLC
• Hope Network
• Jon C Hosek, LBSW
• Timothy Jordon Houtz, PT, DPT
• Rachel Howell
• Amanda Marie Hudson, LLBSW

• Infusion Therapy Clinic/Center in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Infusion Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.