Healthcare Provider Details

I. General information

NPI: 1679368369
Provider Name (Legal Business Name): CARING ROOTS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2025
Last Update Date: 04/12/2025
Certification Date: 04/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 PRICEWOOD CT
ANDERSON IN
46013-5146
US

IV. Provider business mailing address

825 PRICEWOOD CT
ANDERSON IN
46013-5146
US

V. Phone/Fax

Practice location:
  • Phone: 317-519-0914
  • Fax: 765-997-1454
Mailing address:
  • Phone: 317-519-0914
  • Fax: 765-997-1454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. RASHAUNA N WHITE
Title or Position: CEO
Credential:
Phone: 317-519-0914