Organization Active NPI

Rooted Heart Support Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Camden, NJ
National Provider Identifier
1356238802
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ROOTED HEART SUPPORT SERVICES LLC
Practice address
310 N 31St St
Camden, NJ 08105-1418
Phone
(856) 308-5088
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Letisha A Aytch, B.S.HEALTHCARE ADMIN
Title
Ceo
Phone
(856) 246-2926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

310 N 31St St
Camden, NJ 08105-1418

Mailing address

PO Box 28
Sicklerville, NJ 08081-0028
Phone (856) 246-2926

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1356238802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080810028",
            "telephone_number": "856-246-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 31ST ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051418",
            "telephone_number": "856-308-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED HEART SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "AYTCH",
        "authorized_official_first_name": "LETISHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-246-2926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S.HEALTHCARE ADMIN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.