HC Roots LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HC ROOTS LLC

Practice address

113 S Perry St Ste 206
Lawrenceville, GA 30046-4811

Phone

(845) 222-4653

NPI assigned

Feb 22, 2024

Last updated

Feb 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Chase

Title

Co-Owner

Phone

(845) 222-4653

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1396501839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S PERRY ST STE 206",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464811",
            "telephone_number": "845-222-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S PERRY ST STE 206",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464811",
            "telephone_number": "845-222-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HC ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "845-222-4653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.