Roots & Wings Independent Living

LBN: Roots & Wings Independent Living
Roots & Wings Independent Living is an health care organization with primary practice located at 10 Hepworth Pl , West Orange NJ 07052-3206. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care, Managed Care Organizations / Preferred Provider Organization, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care. Agencies / In Home Supportive Care is the primary health care specialty. Roots & Wings Independent Living can be contacted via phone (973) 204-7775, or through Mckenzie, Tisha Nicole via phone (973) 204-7775.

Contact Information

Primary practice address
10 Hepworth Pl West Orange NJ 07052-3206
Phone: (973) 204-7775
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mckenzie, Tisha Nicole PH.D.
Phone: (973) 204-7775

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / In Home Supportive Care 253Z00000X
Managed Care Organizations / Preferred Provider Organization 305R00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1336827153
LBN Legal business name Roots & Wings Independent Living
DBA Doing business as
Authorized official Mckenzie, Tisha Nicole PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2023
Last updated Jul 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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