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General NPI Number Information
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NPI Number | 1346196326
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Entity Type | Organization
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Legal Business Name | ROOTED IN CARE LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 500 FAIRWAY VILLAGE DR # 3F
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-5493
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Country | US
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Telephone | 843-286-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 6514 DICK POND RD # 1030
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-9277
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Country | US
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Telephone | 843-286-5070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SACOYA STELLIA JOHNSON
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Credential | CNA
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Telephone | 843-286-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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