ROOTS RESIDENTIAL ADULT FAMILY HOME LLC
NPI 1346790110
Custodial Care Facility - Adult Care Home in Racine, WI

Q: What is Roots Residential Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since October 05, 2016

1715 LASALLE ST UPPR, RACINE, WI 53402(262) 800-1457(262) 383-2131 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roots Residential Adult Family Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOTS RESIDENTIAL ADULT FAMILY HOME LLC (NPI 1346790110) is a healthcare organization registered as an adult care home in Racine, Wisconsin and active in the NPI registry since October 2016. The organization lists Jerodd Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1346790110

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameROOTS RESIDENTIAL ADULT FAMILY HOME LLC

Location Address1715 LASALLE ST UPPRRacine, WI 53402-4824

Mailing AddressPo Box 44035Racine, WI 53404-7001 · (262) 880-5606 · Fax (262) 383-2131

Phone(262) 800-1457

Fax(262) 383-2131

Organization SubpartNo

Authorized OfficialJerodd TaylorOwner · (262) 880-5606

Enumeration DateOctober 5, 2016

✔ NPI 1346790110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in WI · 0016034

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1715 LASALLE ST UPPR, Racine, WI 53402

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roots Residential Adult Family Home LLC's NPI number?

The NPI number for Roots Residential Adult Family Home LLC is 1346790110. It was assigned to this organization in the NPPES registry on October 5, 2016.

Where is Roots Residential Adult Family Home LLC located?

Roots Residential Adult Family Home LLC is located at 1715 Lasalle St Uppr, Racine, WI 53402. The listed phone number is (262) 800-1457.

What is Roots Residential Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Roots Residential Adult Family Home LLC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.