ROANENTERPRISES, LLC. (NPI# 1487730008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487730008 |
| Entity Type | Organization |
| Organization Name | ROANENTERPRISES, LLC. |
| Other Organization Name | 180 BOYS ADOLESCENT GROUP HOME |
| Practice Address |
5612 Vinings Dr Apt 106-7 Richmond VA 23234-4690 |
| Mailing Address |
Po Box 322 Richmond VA 23218-0322 |
| Practice Telephone | 8047140737 |
| Practice Fax Number | 8046224894 |
| Mailing Telephone | 8043496382 |
| Mailing Fax Number | 8046224894 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARVIN VAN ROANE (PRESIDENT/CEO) |
| Authorized Official Telephone | 8043496382 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | SS-280-06 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 180 Boys Adolescent Group Home | Doing Business As Name - Organization |
| Street Address |
5612 VININGS DR APT 106-7 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23234-4690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941415 | Sabrina Branch Griffin | Registered Nurse | 3513 Skipping Rock Way, Richmond, VA 23234 | 2019-06-15 |
| 1306368782 | Nile LLC. | Taxi | 5580 Heatherhill Dr., North Chesterfield, VA 23234 | 2017-07-07 |
| 1467808923 | Donnell Fonville | Driver | 4137 Woodfield Rd, N Chesterfield, VA 23234 | 2016-05-13 |
| 1710225818 | Vernon J Harris East End Community Health Center | Clinic/Center | 2740 Bensley Commons Boulevard, Chesterfield, VA 23234 | 2013-01-24 |
| 1063799260 | Professional Mental Health Educational Consultants, LLC | Psychologist | 4222 Bonnie Bank Road, Suite 300, Richmond, VA 23234 | 2011-11-16 |
| 1184930463 | Abundant Life Center IIh & Mhss | Community/Behavioral Health | 4222 Bonniebank Rd #304, Richmond, VA 23234 | 2010-08-25 |
| 1164675385 | Kingdom Dominion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7024 O Malley Dr, Same, Richmond, VA 23234 | 2008-10-31 |
| 1417128463 | Tsg Services, Inc. | Day Training, Developmentally Disabled Services | 6401 Irongate Drive, Richmond, VA 23234 | 2008-03-18 |
| 1942479381 | Coretha Marie Claiborn | Counselor | 700 S. Sycamore Street, Suite 6, Petersburg, VA 23234 | 2008-02-29 |
| 1366572372 | Kids In Focus II, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6507 Irongate Road, Richmond, VA 23234 | 2007-03-07 |
| Find all providers in zip 23234 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030054 | Life's Purpose | Residential Treatment Facility, Emotionally Disturbed Children | 1211 Lark Ln, Richmond, TX 77469-7803 | 2020-07-07 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1336454552 | Wernle Youth & Family Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Wernle Rd, Richmond, IN 47374-7015 | 2010-08-12 |
| 1053641167 | Postive Outlook | Residential Treatment Facility, Emotionally Disturbed Children | 3601 Springtime Ct, Richmond, VA 23223-1692 | 2010-01-12 |
| 1568698165 | Hopes Haven Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3515 Skipping Rock Way, Richmond, VA 23234-2971 | 2009-06-09 |
| 1356593693 | Jackson-feild Homes | Residential Treatment Facility, Emotionally Disturbed Children | 205 North Blvd, Richmond, VA 23220-4006 | 2008-10-17 |
| 1952567182 | Secure Haven Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 1706 Hungary Rd, Richmond, VA 23228-2335 | 2008-08-07 |
| 1134389943 | Gabrielle's House | Residential Treatment Facility, Emotionally Disturbed Children | 725 S Providence Rd, Richmond, VA 23236-3337 | 2008-06-15 |
| 1669649364 | Strong Girls, Smart Women LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5210 Lingle Ln, Richmond, VA 23234-6618 | 2008-05-12 |
| 1225200827 | Back 2 Basics, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3808 Candlegrove Ct, Richmond, VA 23223-1440 | 2008-03-24 |
| Find all providers in RICHMOND | ||||
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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.