Rooted and Grounded, Inc

Organization Active NPI Home Health Agency · Rich Square, NC

NPI 1174856249 · NPPES record last updated Sep 8, 2009

Key facts

NPI
1174856249
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
HC3867 (NC)
Legal business name
ROOTED AND GROUNDED, INC
Practice address
117 S Main Street
Rich Square, NC 27869-0001
Phone
(252) 332-4409
NPI assigned
Sep 8, 2009
Organization subpart
No

Authorized official

Name
Phyllistine E Simmons
Title
Ceo/Owner
Phone
(252) 332-4409

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Rooted and Grounded Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3867 NC Yes

Addresses

Primary practice location

117 S Main Street
Rich Square, NC 27869-0001

Mailing address

124 Main St E
Ahoskie, NC 27910-3416

Other identifiers

IdentifierTypeStateIssuer
HC3867OtherNCNC-DHSR

Other providers in Rich Square, NC

All providers in Rich Square, NC · Home Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.