Healthcare Provider Details

I. General information

NPI: 1346196326
Provider Name (Legal Business Name): ROOTED IN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 FAIRWAY VILLAGE DR # 3F
MYRTLE BEACH SC
29588-5493
US

IV. Provider business mailing address

6514 DICK POND RD # 1030
MYRTLE BEACH SC
29588-9277
US

V. Phone/Fax

Practice location:
  • Phone: 843-286-5070
  • Fax:
Mailing address:
  • Phone: 843-286-5070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SACOYA STELLIA JOHNSON
Title or Position: OWNER
Credential: CNA
Phone: 843-286-5070