Active NPI
Rooted Healthcare LLC
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1568284040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ROOTED HEALTHCARE LLC
- Doing business as
- Rooted Healthcare LLC
- Practice address
- 100 S 4TH St Ste 550
Saint Louis, MO 63102-1897 - Phone
- (636) 779-9296
- NPI assigned
- Oct 28, 2024
- Last updated
- Oct 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Twalla Hanna
- Title
- Manager
- Phone
- (636) 779-9298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
100 S 4TH St Ste 550
Saint Louis, MO 63102-1897
Mailing address
16513 Willow Glen Dr
Grover, MO 63040-1748
Phone (636) 779-9296
Other names 1
- Rooted Healthcare LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1568284040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16513 WILLOW GLEN DR",
"city": "GROVER",
"state": "MO",
"postal_code": "630401748",
"telephone_number": "636-779-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 4TH ST STE 550",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631021897",
"telephone_number": "636-779-9296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "TWALLA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "636-779-9298"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rooted Healthcare LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
- Tina Roostaei, MD, MPH
- Root & Rise Therapy and Wellness
- Root to Crown Wellness (Rooted Birth Collective)
- Benjamin Zimmerman Root, M.D.
- Michael Zimmerman Root, MD
- Katie Marie Heiden Rootes, PH.D., LMFT
- Roots Healthcare and Homes
- Kathy Lucille Roper, RN, BSN, NNP-BC
- Ruth Danielle Roper, M.A., SLP-CCC
- Autumn Roque, DNP, APRN, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.