Provider Demographics
NPI:1326917915
Name:ROOT & RISE SUPPORTIVE CARE AGENCY LLC
Entity type:Organization
Organization Name:ROOT & RISE SUPPORTIVE CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAYLIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-803-3044
Mailing Address - Street 1:1240 W WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-1508
Mailing Address - Country:US
Mailing Address - Phone:330-803-3044
Mailing Address - Fax:
Practice Address - Street 1:1240 W WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-1508
Practice Address - Country:US
Practice Address - Phone:330-803-3044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health