Roanenteprises, LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

ROANENTEPRISES, LLC

Doing business as

180 Boys Adolescent Group Home

Practice address

3122 W Clay St
Richmond, VA 23230-4728

Phone

(804) 213-0540

Fax

(804) 213-0542

NPI assigned

Aug 20, 2009

Last updated

Aug 20, 2009By the provider in NPPES

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.

• Roanenterprises, LLC.

  dba 180 Boys Adolescent Group Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Richmond, VA
  • NPI 1487730008
  NPD tax ID

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1740412071",
    "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": "804-213-0540",
            "fax_number": "804-213-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 W CLAY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304728",
            "telephone_number": "804-213-0540",
            "fax_number": "804-213-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANENTEPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "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": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "180 Boys Adolescent Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Seunghwan Ro, M.D.
• Lenore M. Roach, ANP
• Taylor Latia Roach, MD
• Amanda Roaf
• Karen Michelle Roane, COMS
• Roanenterprises, LLC. (180 Boys Adolescent Group Home)
• Curtis Antoine Robb, CTRS
• Allison Robbins, CRNA
• Catherine Ann Robbins, MD
• Emily Ann Robbins, D.O.

• Group Psychotherapy Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Group Psychotherapy Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.