Roots & Wings Independent Living
In Home Supportive Care in West Orange, New Jersey
1336827153- Practice location
- 10 Hepworth Pl, West Orange, NJ 07052-3206
- Phone
- 973-204-7775
- Fax
- —
- Last updated
- July 11, 2023
Roots & Wings Independent Living is a healthcare organization based in West Orange, NJ. Roots & Wings Independent Living practices in West Orange, NJ. The NPI Number for Roots & Wings Independent Living is 1336827153. The current practice location address for Roots & Wings Independent Living is 10 Hepworth Pl, West Orange, NJ 07052-3206 and can be reached out via phone at 973-204-7775.
Provider Profile Details
- NPI Number
- 1336827153
- Provider Name
- Roots & Wings Independent Living
- Provider Entity Type
- Organization
- Address
- 10 Hepworth Pl, West Orange, NJ 07052-3206
- Phone Number
- 973-204-7775
- Primary Taxonomy
- In Home Supportive Care · 253Z00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Tisha Nicole Mckenzie, PHD · Founder/Chief Executive Officer · 973-204-7775
- Provider Enumeration Date
- July 11, 2023
- Last Update Date
- July 11, 2023
- Certification Date
- July 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Hepworth Pl
West Orange, NJ 07052-3206 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-3206
- Phone Number
- 973-204-7775
Provider Business Mailing Address Details
- Address
- 10 Hepworth Pl
West Orange, NJ 07052-3206 - City
- West Orange
- State
- NJ
- Zip
- 07052-3206
- Phone Number
- 973-204-7775
License Information
- Taxonomy (1)
- Day Training, Developmentally Disabled Services · 251C00000X
- Taxonomy (2)
- Preferred Provider Organization · 305R00000X
- Taxonomy (3)
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Taxonomy (4)
- Respite Care · 385H00000X
- Taxonomy (5)
- In Home Supportive Care · 253Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Roots & Wings Independent Living?
The NPI number of Roots & Wings Independent Living is 1336827153. It was assigned on July 11, 2023 and is currently active in the NPPES registry.
What is the specialty of Roots & Wings Independent Living?
Roots & Wings Independent Living is registered under the primary taxonomy In Home Supportive Care (code 253Z00000X).
Where does Roots & Wings Independent Living practice?
The practice location is 10 Hepworth Pl, West Orange, NJ 07052-3206. The office can be reached at 973-204-7775 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336827153 directly on the NPPES registry website.