NPI Code Details Logo

NPI 1720938343

NPI 1720938343 : LOOPROOTS FOUNDATION : DOVER, DE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1720938343
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LOOPROOTS FOUNDATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/02/2026
-----------------------------------------------------
    Last Update Date     |    02/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8 THE GRN STE A 
-----------------------------------------------------
    City                 |    DOVER
-----------------------------------------------------
    State                |    DE
-----------------------------------------------------
    Zip                  |    19901-3618
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    302-215-6333
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8 THE GRN STE A 
-----------------------------------------------------
    City                 |    DOVER
-----------------------------------------------------
    State                |    DE
-----------------------------------------------------
    Zip                  |    19901-3618
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    302-215-6333
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER
-----------------------------------------------------
    Name                 |     MARKETTA  KIRBY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    302-215-6333
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    174200000X
-----------------------------------------------------
    Taxonomy Name        |    Meals Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    252Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Early Intervention Provider Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    320900000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    322D00000X
-----------------------------------------------------
    Taxonomy Name        |    Emotionally Disturbed Childrens' Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    251V00000X
-----------------------------------------------------
    Taxonomy Name        |    Voluntary or Charitable Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.