Roots Lifestyle Management LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ROOTS LIFESTYLE MANAGEMENT LLC

Practice address

1795 Alysheba Way Ste 1001a
Lexington, KY 40509-2282

Phone

(859) 229-3329

Fax

(855) 921-1840

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Stevi McDonald

Title

Administrator

Phone

(859) 492-8509

Specialties & licenses 1

Addresses

Other names 1

• Rooted Recovery Doing business as

Locations

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1780375675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY STE 1001A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092282",
            "telephone_number": "859-229-3329",
            "fax_number": "855-921-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY STE 1001A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092282",
            "telephone_number": "859-229-3329",
            "fax_number": "855-921-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS LIFESTYLE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "STEVI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-492-8509"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rooted Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Lexington, KY
• Providers in Lexington, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.