Organization Active NPI

Ross Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lincoln, ME
National Provider Identifier
1639304223
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200110000MedicaidME

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.