SOLID ROOTS FOUNDTION NPI 1083452247

NPI Information

  • NPI: 1083452247
  • Provider Name: SOLID ROOTS FOUNDTION
  • Classification: Assisted Living Facility - 3104A0630X
  • Specialization: Assisted Living, Behavioral Disturbances
  • Entity Type: Organization
  • Address: 219 WINDSOR DR
    FAYETTEVILLE, NC
    ZIP 28301
  • Phone: (910) 930-2160

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NPI Details

SOLID ROOTS FOUNDTION is an assisted living and behavioral disturbances assisted living facility in Fayetteville, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. SOLID ROOTS FOUNDTION NPI is 1083452247. The provider is registered as an organization entity type.

The provider's business location address is:

219 WINDSOR DR
FAYETTEVILLE, NC
ZIP 28301-368
Phone: (910) 930-2160

The provider's authorized official is Yannick Kinsaka .
The authorized official title is Manager and has the following contact phone number (910) 930-2160.

The enumeration date for this NPI number is 7/19/2024 and was last updated on 7/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0800XClinic/CenterRecovery CareNo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
33104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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