1. Home
  2. Directory
  3. Virginia
  4. Disputanta
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

SHAWANA ROACH
NPI 1790276186
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Disputanta, VA

Active since May 22, 2018
10424 WALTON LAKE RD, DISPUTANTA, VA 23842(757) 477-0424 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawana Roach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWANA ROACH (NPI 1790276186) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Disputanta, Virginia, licensed in Virginia (2452--01-001) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1790276186
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameSHAWANA ROACH
Location Address10424 WALTON LAKE RDDisputanta, VA 23842-4703
Mailing Address10424 Walton Lake RdDisputanta, VA 23842-4703 · (757) 477-0424
Phone(757) 477-0424
Sole ProprietorYes
Enumeration DateMay 22, 2018
✔ NPI 1790276186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in VA · 2452--01-001
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
10424 WALTON LAKE RD, Disputanta, VA 23842
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABUNDANT LOVE, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
10424 WALTON LAKE RD
DISPUTANTA, VA 23842
Prince George County (757) 477-0424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawana Roach's NPI number?

The NPI number for Shawana Roach is 1790276186. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Shawana Roach located?

Shawana Roach practices at 10424 Walton Lake Rd, Disputanta, VA 23842. The listed phone number is (757) 477-0424.

What is Shawana Roach's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Shawana Roach was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.