Organization Active NPI

Roman Rehab Inc.

  • Customized Equipment (DME)
  • Rome, GA
National Provider Identifier
1639171689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
001084 Issued in GA
Legal business name
ROMAN REHAB INC.
Doing business as
Roman Wheelchairs
Practice address
432 Shorter Ave NW
Rome, GA 30165-4272
Phone
(706) 235-8113
Fax
(706) 235-9108
NPI assigned
Jun 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bruce Edward Van Hoorn, CRTS
Title
President
Phone
(706) 235-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 001084 GA Primary

Addresses

Primary practice location

432 Shorter Ave NW
Rome, GA 30165-4272

Mailing address

432 Shorter Ave NW
Rome, GA 30165-4272
Phone (706) 235-8113

Other identifiers 1

IdentifierTypeStateIssuer
00891987AMedicaidGA

Other names 1

  • Roman Wheelchairs Doing business as

National Provider Directory

National Provider Directory

Locations

432 Shorter Ave NW
Rome, GA 30165
Phone (706) 235-8113

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639171689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654272",
            "telephone_number": "706-235-8113",
            "fax_number": "706-235-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654272",
            "telephone_number": "706-235-8113",
            "fax_number": "706-235-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN HOORN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-235-8113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRTS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "001084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00891987A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roman Wheelchairs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • 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.