ROOTS HEALTHCARE AND HOMES (NPI# 1033621172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033621172 |
| Entity Type | Organization |
| Organization Name | ROOTS HEALTHCARE AND HOMES |
| Practice Address |
4300 Enright Ave St. Louis MO 63108 |
| Mailing Address |
292 Pickens Cir Carthage MS 39051-7982 |
| Practice Telephone | 7602703791 |
| Mailing Telephone | 7602703791 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | VALARIE B. PHILLIPS (PRESIDENT MEDICAL MANAGEMENT) |
| Authorized Official Telephone | 7602703791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 251B00000X | Case Management | CA | Agencies | |
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
4300 ENRIGHT AVE |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| 1720515729 | Rachel Hartman | Pharmacist | 115a N Euclid, St Louis, MO 63108 | 2017-05-22 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157644 | Kristin Keppler | Case Management | 221 Olga St, Saint James, MO 65559-1819 | 2020-09-03 |
| 1164036638 | Rebecca Jane Krewson | Case Management | 15183 Highway C, Lenox, MO 65541-9316 | 2020-09-02 |
| 1104440072 | Beyond Vision Mental Health Inc | Case Management | 140 Long Rd Ste 123, Chesterfield, MO 63005-1282 | 2020-06-05 |
| 1003446535 | Lana Smith | Case Management | 6710 N Bellefontaine Ave, Kansas City, MO 64119-1184 | 2020-01-23 |
| 1417501263 | Black Health Care Coalition | Case Management | 6400 Independence Ave, Kansas City, MO 64125-1545 | 2019-07-30 |
| 1386122497 | D&n Services Unlimited | Case Management | 1851 Arrowpoint Dr, Saint Louis, MO 63138-1515 | 2018-07-31 |
| 1689164980 | Diversity Placement Services, Inc. | Case Management | 905b E Langsford Rd Ste B, Lees Summit, MO 64063-2969 | 2018-05-14 |
| 1205325131 | Restoration of Hope Project | Case Management | 1925 E Bennett St Ste H, Springfield, MO 65804-1425 | 2018-05-07 |
| 1457855918 | Reynolds County Sheltered Workshop, Inc. | Case Management | 133 Highway 72 E, Bunker, MO 63629-8196 | 2018-03-20 |
| 1952800427 | The Community Counseling & Housing Services | Case Management | 10069 Tappan Dr, Saint Louis, MO 63137-2049 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.