Active NPI
Roane Homecare, LLC
- Home Health Agency
- Spencer, WV
National Provider Identifier
1205900271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ROANE HOMECARE, LLC
- Practice address
- 20 Williams Dr
Suite 1
Spencer, WV 25276-1800 - Phone
- (304) 927-6091
- Fax
- (304) 927-6094
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Gachassin III
- Title
- Executive Vice President
- Phone
- (337) 233-1307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
20 Williams Dr
Suite 1
Spencer, WV 25276-1800
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123058-005 | Medicaid | WV |
Other names 1
- Roane HomeCare
National Provider Directory
National Provider DirectoryLocations
20 Williams Dr
Ste 1
Spencer, WV 25276
Phone (304) 927-6091
820 Capitol St
Spencer, WV 25276
Phone (304) 927-6091
327 Main St
Spencer, WV 25276
Phone (304) 927-6514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637539200000",
"number": "1205900271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-233-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WILLIAMS DR",
"address_2": "SUITE 1",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761800",
"telephone_number": "304-927-6091",
"fax_number": "304-927-6094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROANE HOMECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A",
"authorized_official_last_name": "GACHASSIN",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "337-233-1307",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123058-005",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Roane HomeCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Roane HomeCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spencer, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.