Provider Demographics
NPI:1720597875
Name:ROOTS & COMPANY INC
Entity Type:Organization
Organization Name:ROOTS & COMPANY INC
Other - Org Name:ROOTS OF DUBUQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-587-0000
Mailing Address - Street 1:5678 LONG MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2880
Mailing Address - Country:US
Mailing Address - Phone:563-587-0000
Mailing Address - Fax:844-331-5887
Practice Address - Street 1:3485 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-1329
Practice Address - Country:US
Practice Address - Phone:563-587-0000
Practice Address - Fax:844-331-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals