Provider Demographics
NPI:1043873318
Name:HOME ROOTS COMPANION & HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:HOME ROOTS COMPANION & HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-462-8292
Mailing Address - Street 1:70 W CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1606
Mailing Address - Country:US
Mailing Address - Phone:517-279-2342
Mailing Address - Fax:517-279-8324
Practice Address - Street 1:70 W CHICAGO ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1606
Practice Address - Country:US
Practice Address - Phone:517-279-2342
Practice Address - Fax:517-279-8324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care