Healthcare Provider Details

I. General information

NPI: 1083551287
Provider Name (Legal Business Name): ROOTED HOPES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 W SOUTHERN AVE UNIT 167
APACHE JUNCTION AZ
85120
US

IV. Provider business mailing address

3000 S SOUTHERN AVE
APACHE JUNCTION AZ
85120-1308
US

V. Phone/Fax

Practice location:
  • Phone: 413-275-7442
  • Fax: 413-275-7442
Mailing address:
  • Phone: 413-275-7442
  • Fax: 413-275-7442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARICELA CONCEPCION
Title or Position: FOUNDER
Credential:
Phone: 413-275-7442