NPIMap

Organization Active NPI

4Roots Foundation, Inc.

  • Home Delivered Meals
  • Orlando, FL
National Provider Identifier
1720901341
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
4ROOTS FOUNDATION, INC.
Practice address
1918 W Princeton St
Orlando, FL 32804-4706
Phone
(407) 775-6424
NPI assigned
Jul 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Dr. Jay Groves, EDD
Title
Executive Director
Phone
(615) 260-0347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

1918 W Princeton St
Orlando, FL 32804-4706

Mailing address

1918 W Princeton St
Orlando, FL 32804-4706
Phone (407) 775-6424

National Provider Directory

National Provider Directory

Locations

1918 W Princeton St
Orlando, FL 32804

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1720901341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 W PRINCETON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044706",
            "telephone_number": "407-775-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 W PRINCETON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044706",
            "telephone_number": "407-775-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4ROOTS FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-260-0347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.