Organization Active NPI

Rootwork LLC

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1659079663
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROOTWORK LLC
Practice address
11000 W McNichols Rd Ste 323
Detroit, MI 48221-2393
Phone
(312) 480-6855
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Danielle Shannon
Title
Owner
Phone
(312) 480-6855

Specialties & licenses 1

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

Addresses

Primary practice location

11000 W McNichols Rd Ste 323
Detroit, MI 48221-2393

Mailing address

11000 W McNichols Rd Ste 323
Detroit, MI 48221-2393
Phone (312) 480-6855

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1659079663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD STE 323",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212393",
            "telephone_number": "312-480-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD STE 323",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212393",
            "telephone_number": "312-480-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-480-6855"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.