Provider Demographics
NPI:1730978487
Name:T AND V ROOMING FOR THE MENTALLY AND DISABLE LLC
Entity type:Organization
Organization Name:T AND V ROOMING FOR THE MENTALLY AND DISABLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:EWOSB, SB, PW , CAS
Authorized Official - Phone:279-666-8410
Mailing Address - Street 1:1256 RINGLET AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-0468
Mailing Address - Country:US
Mailing Address - Phone:279-666-8410
Mailing Address - Fax:
Practice Address - Street 1:3928 44TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-3576
Practice Address - Country:US
Practice Address - Phone:916-336-3299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Single Specialty