LIVING ROOTS LLC (NPI# 1487071213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487071213 |
| Entity Type | Organization |
| Organization Name | LIVING ROOTS LLC |
| Other Organization Name | LEAVES PERSONAL CARE |
| Practice Address |
3980 Chicago Dr Sw Suite 100 Grandville MI 49418-1392 |
| Practice Telephone | 6165758519 |
| Practice Fax Number | 6165759078 |
| Mailing Telephone | 6165758519 |
| Mailing Fax Number | 6165759078 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | MR. BRIAN WILSON (OWNER/MANAGER) |
| Authorized Official Telephone | 6165758519 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Leaves Personal Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629467436 | Living Roots LLC | In Home Supportive Care | 2850 Thornhills Ave Se, Suite A, Grand Rapids, MI 49546-7120 | 2015-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LIVING ROOTS LLC | 3886 Winona Rd, Grants Pass, OR 97526 |
| Street Address |
3980 CHICAGO DR SW SUITE 100 |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518366 | Nicole Cheeks | Home Health | 4370 Chicago Dr Sw Ste 527, Grandville, MI 49418-1694 | 2020-08-10 |
| 1972725398 | H.c. Assoicaties Holdings, LLC | Home Health | 3101 Prairie Street Sw, Grandville, MI 49418 | 2007-05-03 |
| 1629116769 | Guardian Angel Home Care Inc | Home Health | 2905 Wilson Ave Sw Suite 202, Grandville, MI 49418-1295 | 2007-02-01 |
| 1649257734 | Treece Home Care Inc | Home Health | 3097 Prairie St Sw, Grandville, MI 49418-2000 | 2005-12-29 |
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|---|---|---|---|---|
| 1972104867 | Domestic Life Services LLC | Home Health | 11662 Heyden St, Detroit, MI 48228-1047 | 2020-11-05 |
| 1063013407 | Rosemary's Helping Hands | Home Health | 241 La Grange Ave, Battle Creek, MI 49014-5873 | 2020-11-03 |
| 1174124713 | Noble Home Health Care LLC | Home Health | 451 Hague St, Detroit, MI 48202-2122 | 2020-11-02 |
| 1396345294 | Nbmc Compassionate Care Managed Services (ccms), LLC | Home Health | 705 S 11th St, Saginaw, MI 48601-2104 | 2020-10-29 |
| 1528668811 | Safe Haven Home Health Care L.l.c | Home Health | 3311 Hoover St, Kalamazoo, MI 49008-2693 | 2020-10-27 |
| 1437758059 | Luxury Home Care LLC | Home Health | 6015 Lake Dr Lot 106, Ypsilanti, MI 48197-7016 | 2020-10-23 |
| 1437758463 | D & D Non-medical Home Care Agency LLC | Home Health | 1317 Hotop Ave, Kalamazoo, MI 49048-1824 | 2020-10-21 |
| 1386243376 | Halstead Nursing Services LLC | Home Health | 518 Westbrook, Whitmore Lake, MI 48189-8212 | 2020-10-20 |
| 1477152700 | Caring Hands Home Health and Hospice | Home Health | 1901 W Hobson Ave, Flint, MI 48504-7042 | 2020-10-19 |
| 1700484474 | Katrisha D Thomas | Home Health | 31158 Woodland St Apt 17108, Wixom, MI 48393-2690 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
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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.