ROOTS WELLNESS GROUP LLC NPI 1740033083

NPI Information

  • NPI: 1740033083
  • Provider Name: ROOTS WELLNESS GROUP, LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 36D2308405
  • Address: 969 READING RD STE H
    MASON, OH
    ZIP 45040
  • Phone: (937) 657-8101

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NPI Details

ROOTS WELLNESS GROUP, LLC is a health service clinic center in Mason, OH. ROOTS WELLNESS GROUP, LLC NPI is 1740033083. The provider is registered as an organization entity type.

The provider's business location address is:

969 READING RD STE H
MASON, OH
ZIP 45040-654
Phone: (937) 657-8101

The provider's authorized official is Jamee Diver .
The authorized official title is Lbclc/ Owner and has the following contact phone number (937) 657-8101.

The CLIA number assigned to this NPI record is 36D2308405 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2024 and was last updated on 4/8/2024.

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
1253Z00000XIn Home Supportive CareNo
2261QH0100XClinic/CenterHealth ServiceYes

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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