Rita M White

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

RITA M WHITE

Practice address

925 Lake Shore Road
Saint David, ME 04773

Phone

(207) 895-3732

NPI assigned

May 29, 2009

Last updated

May 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rita M White

Title

Owner

Phone

(207) 895-3732

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1235365693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 LAKE SHORE ROAD",
            "city": "SAINT DAVID",
            "state": "ME",
            "postal_code": "04773",
            "telephone_number": "207-895-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 LAKE SHORE ROAD",
            "city": "SAINT DAVID",
            "state": "ME",
            "postal_code": "04773",
            "telephone_number": "207-895-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA M WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-895-3732"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200180000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Rayder, RDN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint David, ME
• Providers in Saint David, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.