ROOTS WELLNESS GROUP, LLC
NPI 1740033083
Clinic/Center - Health Service in Mason, OH
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 36D2308405
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 07-25-2026
About ROOTS WELLNESS GROUP, LLC
This page provides the complete NPI Profile along with additional information for Roots Wellness Group, Llc, a provider established in Mason, Ohio operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1740033083 assigned on April 2024. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jamee Diver Lbclc (Lbclc/ Owner)
- NPI
- 1740033083 Verify this NPI
- Provider Name
- ROOTS WELLNESS GROUP, LLC
- Entity Type
- Organization
- Location Address
- 969 READING RD STE H MASON, OH 45040
- Location Phone
- (937) 657-8101
- Mailing Address
- 5312 JOSEPH LN MASON, OH 45040
- Mailing Phone
- (513) 317-0905
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-08-2024
- Last Update Date
- 04-08-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 253Z00000X | Agencies | In Home Supportive Care |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2308405
- Facility Type
- Independent
- Certificate Effective Date
- July 26, 2024
- Certificate Expiration Date
- July 25, 2026
- Laboratory Director
- LAUREN K. SHANNON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Roots Wellness Group, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MASON, OH 45040
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740033083, enumerated as an "organization" on April 08, 2024.
The provider is located at 969 READING RD STE H MASON, OH 45040 and the phone number is (937) 657-8101.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
