Active NPI
Ross Home
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Lincoln, ME
National Provider Identifier
1639304223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- ROSS HOME
- Practice address
- 926 Transalpine Rd
Lincoln, ME 04457-4418 - Phone
- (207) 794-3566
- NPI assigned
- May 26, 2009
- Last updated
- Jun 30, 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
- Ms. Shirley A Ross
- Title
- Home Provider
- Phone
- (207) 794-3566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | ME | Primary |
Addresses
Primary practice location
926 Transalpine Rd
Lincoln, ME 04457-4418
Mailing address
926 Transalpine Rd
Lincoln, ME 04457-4418
Phone (207) 794-3566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200110000 | 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": "1243296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246320000000",
"number": "1639304223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 TRANSALPINE RD",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044574418",
"telephone_number": "207-794-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 TRANSALPINE RD",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044574418",
"telephone_number": "207-794-3566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSS HOME",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-26",
"last_updated": "2009-06-30",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "HOME PROVIDER",
"authorized_official_telephone_number": "207-794-3566",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200110000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.