Living Roots LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIVING ROOTS LLC

Practice address

3980 Chicago Dr SW
Suite 100
Grandville, MI 49418-1392

Phone

(616) 575-8519

Fax

(616) 575-9078

NPI assigned

Mar 18, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Brian Wilson

Title

Owner/Manager

Phone

(616) 575-8519

Specialties & licenses 1

Addresses

Other names 1

• Leaves Personal Care Doing business as

Tax ID family

Leaves Personal Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Living Roots LLC

  • In Home Supportive Care Agency
  • Grand Rapids, MI
  • NPI 1629467436
  NPD tax ID

Locations

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1487071213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 CHICAGO DR SW",
            "address_2": "SUITE 100",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181392",
            "telephone_number": "616-575-8519",
            "fax_number": "616-575-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 CHICAGO DR SW",
            "address_2": "SUITE 100",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181392",
            "telephone_number": "616-575-8519",
            "fax_number": "616-575-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "616-575-8519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leaves Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Michael Lietz, D.C.
• Scott Anthony Lietz
• Kerri Lindeman
• Jeffrey Allen Lindhout, DDS MS
• Heather Nichole Little, B.S.
• Angela Long
• Matthew Ryan Loveless
• Betty Lowell, LPC, CAADC
• Mackenzie Lozon
• Kelly Jo Lubbers, DNP, CPNP

• Home Health Agency in Grandville, MI
• Providers in Grandville, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.