NPI Code Detail JSON Logo

1770436131 NPI number — ROOTS OF HERITAGE INC.

NPI Number: 1770436131
Health Care Provider/Practitioner: ROOTS OF HERITAGE INC.

Information about “1770436131” NPI (ROOTS OF HERITAGE INC.) exists in 1770436131 in HTML format HTML  |  1770436131 in plain Text format TXT  |  1770436131 in PDF (Portable Document Format) PDF  |  1770436131 in an XML format XML  formats.

NPI Number : 1770436131 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770436131",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ROOTS OF HERITAGE INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3433 W DALLAS ST APT 1150",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77019-3843",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-671-1370",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3433 W DALLAS ST APT 1150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77019-3843",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-671-1370",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2026",
    "LastUpdateDate": "02/19/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ZAWAWI",
    "AuthorizedOfficialFirstName": "ABDULFATAH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "REGISTERED AGENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMSW",
    "AuthorizedOfficialTelephoneNumber": "832-671-1370",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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