Organization Active NPI

Rooted Foundations LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
National Provider Identifier
1487592044
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROOTED FOUNDATIONS LLC
Practice address
5201 Bromwick Dr
Dayton, OH 45426-1909
Phone
(937) 307-8120
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Keona Jolly
Title
Owner
Phone
(937) 307-8120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5201 Bromwick Dr
Dayton, OH 45426-1909

Mailing address

5201 Bromwick Dr
Trotwood, OH 45426-1909
Phone (937) 307-8120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1487592044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 BROMWICK DR",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454261909",
            "telephone_number": "937-307-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BROMWICK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261909",
            "telephone_number": "937-307-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED FOUNDATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "KEONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-307-8120"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.