Provider Demographics
NPI:1811878671
Name:ROMAN HEALTH SERVICES LLC LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:ROMAN HEALTH SERVICES LLC LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NOLAY
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN,
Authorized Official - Phone:763-227-4771
Mailing Address - Street 1:10220 47TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55442-2535
Mailing Address - Country:US
Mailing Address - Phone:763-227-4771
Mailing Address - Fax:612-445-0014
Practice Address - Street 1:10220 47TH AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55442-2535
Practice Address - Country:US
Practice Address - Phone:763-227-4771
Practice Address - Fax:612-445-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility