Organization Active NPI

Rooted Solutions LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1568105484
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROOTED SOLUTIONS LLC
Practice address
8565 S Eastern Ave Ste 180
Las Vegas, NV 89123-2907
Phone
(702) 209-5569
NPI assigned
Apr 18, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Uchechi HarrisNPI 1245652551
Title
Owner
Phone
(702) 204-8895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8565 S Eastern Ave Ste 180
Las Vegas, NV 89123-2907

Mailing address

8565 S Eastern Ave Ste 180
Las Vegas, NV 89123-2907
Phone (702) 209-5569

Other identifiers 1

IdentifierTypeStateIssuer
1245652551MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231013002426 NV Part B Supplier - Clinic/Group Practice 9032564810 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

8565 S Eastern Ave
Ste 180
Las Vegas, NV 89123
Phone (702) 209-5569

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1568105484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232907",
            "telephone_number": "702-209-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232907",
            "telephone_number": "702-209-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "UCHECHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-204-8895"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245652551",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.