Active NPI
Trophy Home Healthcare LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Roanoke, TX
National Provider Identifier
1801764246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- TROPHY HOME HEALTHCARE LLC
- Practice address
- 14548 Frog Lake Dr
Roanoke, TX 76262-2167 - Phone
- (682) 559-8523
- Fax
- (817) 500-4289
- NPI assigned
- Oct 27, 2025
- 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
- Doreen Kanamugire
- Title
- Director
- Phone
- (682) 559-8523
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Custodial Care Facility | 311Z00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
14548 Frog Lake Dr
Roanoke, TX 76262-2167
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (682) 559-8523
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1801764246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "682-559-8523",
"fax_number": "817-500-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14548 FROG LAKE DR",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762622167",
"telephone_number": "682-559-8523",
"fax_number": "817-500-4289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TROPHY HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "KANAMUGIRE",
"authorized_official_first_name": "DOREEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "682-559-8523"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.