180 BOYS ADOLESCENT GROUP HOME – NPI #1487730008
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

180 BOYS ADOLESCENT GROUP HOME is a residential treatment facility located in RICHMOND, VA. NPPES has assigned the NPI number 1487730008 to 180 BOYS ADOLESCENT GROUP HOME on October 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “180 BOYS ADOLESCENT GROUP HOME” is a dba name, the actual legal business name for this organization is ROANENTERPRISES, LLC.. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 180 BOYS ADOLESCENT GROUP HOME below.

NPI Profile for
ROANENTERPRISES, LLC.

NPI Number
1487730008
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROANENTERPRISES, LLC.
Doing Business As (dba): 180 BOYS ADOLESCENT GROUP HOME
Primary location
5612 VININGS DR APT 106-7
RICHMOND, VA 23234-4690
Phone: (804) 714-0737 Fax: (804) 622-4894
Mailing address
PO BOX 322
RICHMOND, VA 23218-0322
Phone: (804) 349-6382 Fax: (804) 622-4894
Organization Subpart
No
Authorized Official
MARVIN ROANE
PRESIDENT/CEO
Phone: (804) 349-6382
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 VA SS-280-06

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.