Deeply Rooted Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEEPLY ROOTED INC

Practice address

124 Main St E
Ahoskie, NC 27910-3416

Phone

(252) 332-2025

Fax

(252) 332-5099

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllistine Simmons

Title

Ceo

Phone

(252) 287-8713

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1346606456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAIN ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103416",
            "telephone_number": "252-332-2025",
            "fax_number": "252-332-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103416",
            "telephone_number": "252-332-2025",
            "fax_number": "252-332-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPLY ROOTED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "PHYLLISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-287-8713",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chaquella Daughtry, LCSW
• Deandria Nicole Davis, FNP-C
• Ky'Asia Lajae Davis, LCSWA
• Deeply Rooted Home Care Incorporated
• Della Reid Deloatch, AAS,CCJP,CSAS
• Felicia D Deloatch, PHARMD
• Direct Medical Transport
• Kaitlyn Mae Ditmars
• DRS. Brown & Brown, PA

• Community/Behavioral Health Agency in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.