Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roots Residential Adult Family Home LLC

Organization Adult Care Home Facility · NPI 1346790110

Roots Residential Adult Family Home LLC is an Adult Care Home Facility in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1715 Lasalle St Uppr
Racine, WI 53402-4824
Phone: (262) 800-1457
Fax: (262) 383-2131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 0016034 (WI)

Record details

NPI number1346790110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerodd Taylor — Owner · (262) 880-5606
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing addressPo Box 44035, Racine, WI 53404-7001

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