MARIANNE MITSUKO ROMAN (NPI# 1194374900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194374900 |
| Entity Type | Individual |
| Full Name | MARIANNE MITSUKO ROMAN |
| Practice Address |
6608 Wagon Wheel Dr Killeen TX 76542-9058 |
| Practice Telephone | 2548131050 |
| Mailing Telephone | 2548131050 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
6608 WAGON WHEEL DR |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-9058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588318 | Titania Gordon | Home Health | 4507 Texas Rangers Dr, Killeen, TX 76549-0081 | 2018-08-15 |
| 1104305705 | Kristina Jones | Home Health | 1403 Trail Boss, Killeen, TX 76549-5188 | 2018-08-14 |
| 1528547114 | Keasha Emilson | Home Health | 503 Terrapin Cv, Killeen, TX 76542-2675 | 2018-08-14 |
| 1093294969 | Alicia Heath | Home Health | 3316 Quinn Ave, Killeen, TX 76543-4409 | 2018-08-10 |
| 1548778079 | Embrace Home Attendant Services | Home Health | 2809 Leroy Cir, Killeen, TX 76542-3224 | 2018-01-18 |
| 1366810236 | Lighthouse Nursing Inc | Home Health | 328 Antelope Trl, Killeen, TX 76542-5008 | 2015-09-09 |
| 1073990289 | Metroplex Adventist Hospital, Inc | Home Health | 2115 S Clear Creek Rd, Killeen, TX 76549-4110 | 2015-04-27 |
| 1447696349 | Genesis Nursing Agency LLC | Home Health | 509 W. Libra Dr., Killeen, TX 76542-5771 | 2013-05-17 |
| 1578801676 | A Plus Therapy At Home LLC | Home Health | 1507 W Stan Schlueter Loop Ste 101, Killeen, TX 76549-3766 | 2013-01-24 |
| 1013299031 | Grace Therapeutic Homes, LLC | Home Health | 1206 W Jasper Dr, A, Killeen, TX 76549-1253 | 2011-09-15 |
| Find all providers in KILLEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.