Whalio Doctors

NPI 1033621172

Roots Healthcare and Homes

Organisation Case Management Agency St. Louis, MO

Practice location

Address
4300 Enright Ave, St. Louis, MO 63108
Phone
(760) 270-3791
Mailing address
292 Pickens Cir, Carthage, MS 39051-7982

Authorised official

Name
Valarie B. Phillips
Title
President Medical Management
Phone
(760) 270-3791

Registered specialties (12)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Case Management Agency
Agencies Taxonomy 251B00000X
Home Health Agency
Agencies Taxonomy 251E00000X
Nursing Care Agency
Agencies Taxonomy 251J00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X
Adult Day Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QA0600X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QE0700X
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X
Adult Care Home Facility
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

Registry record

NPI
1033621172
Entity type
Organization
NPI issued
30 Oct 2017
Record last updated
30 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.