NPI Code Details Logo

NPI 1811896178

NPI 1811896178 : ROOTZ LEARNING CENTER : PEORIA, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1811896178
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ROOTZ LEARNING CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/03/2026
-----------------------------------------------------
    Last Update Date     |    11/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    12055 W WESTLAND RD 
-----------------------------------------------------
    City                 |    PEORIA
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85383-6518
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    719-877-3773
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    26535 E UNIVERSITY DR APT 7112 
-----------------------------------------------------
    City                 |    LITTLE ELM
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76227-6518
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-650-0007
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER
-----------------------------------------------------
    Name                 |     RAYVEN  CARTER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    719-877-3773
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    347C00000X
-----------------------------------------------------
    Taxonomy Name        |    Private Vehicle
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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