Roanenterprises, LLC.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SS-280-06 Issued in VA

Legal business name

ROANENTERPRISES, LLC.

Practice address

5612 Vinings Dr Apt 106-7
Richmond, VA 23234-4690

Phone

(804) 714-0737

Fax

(804) 622-4894

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Van Roane

Title

President/Ceo

Phone

(804) 349-6382

Specialties & licenses 1

Addresses

Other names 1

• 180 Boys Adolescent Group Home Doing business as

Tax ID family

180 Boys Adolescent Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Roanenteprises, LLC

  • Group Psychotherapy Psychologist
  • Richmond, VA
  • NPI 1740412071
  NPD tax ID

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487730008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232180322",
            "telephone_number": "804-349-6382",
            "fax_number": "804-622-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 VININGS DR APT 106-7",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232344690",
            "telephone_number": "804-714-0737",
            "fax_number": "804-622-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANENTERPRISES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROANE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "804-349-6382",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS-280-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "180 Boys Adolescent Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lenore M. Roach, ANP
• Taylor Latia Roach, MD
• Amanda Roaf
• Karen Michelle Roane, COMS
• Roanenteprises, LLC
• Curtis Antoine Robb, CTRS
• Allison Robbins, CRNA
• Catherine Ann Robbins, MD
• Emily Ann Robbins, D.O.
• Leeann Schmidt Robbins, SLP

• Emotionally Disturbed Childrens' Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.