Organization Active NPI

Ronica Home Care LLC

  • Assisted Living Facility (Mental Illness)
  • Round Rock, TX
National Provider Identifier
1881051852
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
650576540002 Issued in TX
Legal business name
RONICA HOME CARE LLC
Practice address
2800 La Frontera Blvd Apt 3018
2800 La Frontera Blvd # 3018
Round Rock, TX 78681-7958
Phone
(512) 579-9698
Fax
(512) 294-2847
NPI assigned
Jan 21, 2016
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Mr. Betrand C Ezema Ezema
Title
Owner
Phone
(512) 579-9698

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 650576540002 TX Primary
Adult Care Home Facility 311ZA0620X 650576540002 TX
Mental Illness Community Based Residential Treatment Facility 320800000X 650576540002 TX
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 650576540002 TX

Addresses

Primary practice location

2800 La Frontera Blvd Apt 3018
2800 La Frontera Blvd # 3018
Round Rock, TX 78681-7958

Mailing address

2800 La Frontera Blvd Apt 3018
2800 La Frontera Blvd # 3018
Round Rock, TX 78681-7958
Phone (512) 579-9698

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1881051852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LA FRONTERA BLVD APT 3018",
            "address_2": "2800 LA FRONTERA BLVD # 3018",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817958",
            "telephone_number": "512-579-9698",
            "fax_number": "512-294-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LA FRONTERA BLVD APT 3018",
            "address_2": "2800 LA FRONTERA BLVD # 3018",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786817958",
            "telephone_number": "512-579-9698",
            "fax_number": "512-294-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONICA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "EZEMA  EZEMA",
        "authorized_official_first_name": "BETRAND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-579-9698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "TX",
            "license": "650576540002",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TX",
            "license": "650576540002",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "650576540002",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "650576540002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.