Romas Place Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROMAS PLACE INC

Practice address

5144 Judsonville Dr
Antioch, CA 94531-8501

Phone

(502) 544-3068

Fax

(925) 848-3704

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Rolando Gil Mendoza

Title

Administrator and Licensee

Phone

(502) 544-3068

Specialties & licenses 1

Addresses

Other names 1

• Roma's Place, Inc. Doing business as

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1992358139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 JUDSONVILLE DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318501",
            "telephone_number": "502-544-3068",
            "fax_number": "925-848-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 JUDSONVILLE DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318501",
            "telephone_number": "502-544-3068",
            "fax_number": "925-848-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAS PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "GIL MENDOZA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "ADMINISTRATOR AND LICENSEE",
        "authorized_official_telephone_number": "502-544-3068"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roma's Place, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Selene Rodriguez
• Valeri Rodriguez
• Isaiah Rogers
• Kah'Maria Ta'Ina Rojas
• Anastasia Rojek
• Denise M. Romero, M.D.
• Heather Nichole Romine, M.D.
• Cassandra Romo
• Ronald L Leon MD Inc
• Zahra Rooshen

• Assisted Living Facility in Antioch, CA
• Providers in Antioch, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.