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ROOTED IN WELLNESS FAMILY CARE, LLC
NPI 1790368710
Nurse Practitioner - Primary Care in St. Henry, OH

Active since April 29, 2021CLIA 36D2228894 · Waiver
591 SOUTH EASTERN AVE, ST. HENRY, OH 45883(937) 417-4712 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rooted In Wellness Family Care, Llc NPPES

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

ROOTED IN WELLNESS FAMILY CARE, LLC (NPI 1790368710) is a healthcare organization registered as a primary care in St. Henry, Ohio and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Brittany Sue Buening, Owner, as its authorized official.

NPPES Registry Identity

NPI1790368710
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameROOTED IN WELLNESS FAMILY CARE, LLC
Location Address591 SOUTH EASTERN AVESt. Henry, OH 45883-4588
Mailing Address121 Oak Hill DrSaint Henry, OH 45883-9647 · (937) 417-4712
Phone(937) 417-4712
Organization SubpartNo
Authorized OfficialBrittany Sue BueningOwner · (937) 417-4712
Enumeration DateApril 29, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1790368710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
591 SOUTH EASTERN AVE, St. Henry, OH 45883
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2228894

Rooted In Wellness Family Care, LLC · Saint Henry, OH
Active · expires Jul 1, 2027
CLIA Number36D2228894
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorBrittany S. Buening
Laboratory Phone(567) 279-1347
Laboratory LocationRooted In Wellness Family Care, LLC591 S Eastern Avenue, Saint Henry, OH 45883
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Rooted In Wellness Family Care, LLC's NPI number?

The NPI number for Rooted In Wellness Family Care, LLC is 1790368710. It was assigned to this organization in the NPPES registry on April 29, 2021.

Where is Rooted In Wellness Family Care, LLC located?

Rooted In Wellness Family Care, LLC is located at 591 South Eastern Ave, St. Henry, OH 45883. The listed phone number is (937) 417-4712.

What is Rooted In Wellness Family Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Rooted In Wellness Family Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2228894) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rooted In Wellness Family Care, LLC was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.