Organization · NPI-2

218roots Of Life Transitional Housing By Vonda LLC

Home Health · Moorhead, MN

NPI number1720960107
StatusActive
Last updated in NPPESJul 24, 2025

Details

NPI
1720960107
Entity type
Organization (NPI-2)
Legal business name
218roots Of Life Transitional Housing By Vonda LLC
Organization subpart
No
Enumeration date
Jul 24, 2025
Certification date
Jul 24, 2025
Last updated
Jul 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251G00000X Hospice Care, Community Based––
251S00000X Community/Behavioral Health––
174200000X Meals––
251C00000X Day Training, Developmentally Disabled Services––
253Z00000X In Home Supportive Care––
333300000X Emergency Response System Companies––
385H00000X Respite Care––
405300000X Prevention Professional––

Practice location

3912 7th St S
Moorhead, MN 56560-5642

Phone 414-544-5656

Mailing address

3912 7th St S
Moorhead, MN 56560-5642

Phone 414-544-5656

Authorized official

Lavonda Taylor
Owner
4145445656

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Home Health providers in Moorhead, MN