Organization Active NPI

Thriving Roots Haven Incorporated

  • Contractor
  • Chattanooga, TN
National Provider Identifier
1639040942
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
THRIVING ROOTS HAVEN INCORPORATED
Practice address
2174 W Shepherd Rd
Chattanooga, TN 37421-2314
Phone
(423) 305-9776
NPI assigned
Sep 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Jameca Sheevon Forrester, BLS/CNA
Title
BLS/Cna
Phone
(423) 305-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

2174 W Shepherd Rd
Chattanooga, TN 37421-2314

Mailing address

2174 W Shepherd Rd
Chattanooga, TN 37421-2314
Phone (423) 305-9776

National Provider Directory

National Provider Directory
Tax ID family
Thriving Roots Haven Incorporated3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1639040942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 W SHEPHERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212314",
            "telephone_number": "423-305-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 W SHEPHERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212314",
            "telephone_number": "423-305-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING ROOTS HAVEN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "JAMECA",
        "authorized_official_middle_name": "SHEEVON",
        "authorized_official_title_or_position": "BLS/CNA",
        "authorized_official_telephone_number": "423-305-9776",
        "authorized_official_credential": "BLS/CNA"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.