Provider Demographics
NPI:1427866805
Name:JTM ROOTED IN CARE LLC
Entity type:Organization
Organization Name:JTM ROOTED IN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NATONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-313-5440
Mailing Address - Street 1:9800 HILLWOOD PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-1532
Mailing Address - Country:US
Mailing Address - Phone:847-313-5440
Mailing Address - Fax:
Practice Address - Street 1:9800 HILLWOOD PKWY STE 140
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-1532
Practice Address - Country:US
Practice Address - Phone:847-313-5440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care