Active NPI
Robert Page
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Caribou, ME
National Provider Identifier
1376778134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ROBERT PAGE
- Practice address
- 122 Emond Rd
Caribou, ME 04736-3562 - Phone
- (207) 498-3144
- NPI assigned
- May 22, 2009
- Last updated
- May 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert R Page
- Title
- Home Provider
- Phone
- (207) 498-3144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
122 Emond Rd
Caribou, ME 04736-3562
Mailing address
122 Emond Rd
Caribou, ME 04736-3562
Phone (207) 498-3144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219270000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242950400000",
"number": "1376778134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 EMOND RD",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047363562",
"telephone_number": "207-498-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 EMOND RD",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047363562",
"telephone_number": "207-498-3144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT PAGE",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A",
"authorized_official_last_name": "PAGE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "HOME PROVIDER",
"authorized_official_telephone_number": "207-498-3144"
},
"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": "219270000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.