Organization Active NPI

Robert Page

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Caribou, ME
National Provider Identifier
1376778134
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
219270000MedicaidME

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.