NPIMap

Organization Active NPI

Robert and Mary's Place

  • Adult Day Care Clinic/Center
  • Ellsworth, ME
National Provider Identifier
1942444906
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ALLS 3166 Issued in ME
Legal business name
ROBERT AND MARY'S PLACE
Practice address
50 Meadow View LN
Suite # 35
Ellsworth, ME 04605-1547
Phone
(207) 667-5449
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Ida Walls Page, M.S.
Title
Executive Director
Phone
20766754499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ALLS 3166 ME Primary
Adult Day Care Clinic/Center 261QA0600X ALLS 3175 ME

Addresses

Primary practice location

50 Meadow View LN
Suite # 35
Ellsworth, ME 04605-1547

Mailing address

50 Meadow View LN
Suite # 35
Ellsworth, ME 04605-1547
Phone (207) 667-5449

Other identifiers 2

IdentifierTypeStateIssuer
160420000MedicaidME
88544745OtherMEVETERANS ADMINISTRATION

Other names 1

  • Robert and Mary's Place in Machias Other name

National Provider Directory

National Provider Directory

Locations

50 Meadow View Ln
Ste 35
Ellsworth, ME 04605
Phone (207) 667-5449

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1942444906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEADOW VIEW LN",
            "address_2": "SUITE # 35",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051547",
            "telephone_number": "207-667-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEADOW VIEW LN",
            "address_2": "SUITE # 35",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051547",
            "telephone_number": "207-667-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT AND MARY'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "IDA",
        "authorized_official_middle_name": "WALLS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "20766754499",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "ME",
            "license": "ALLS 3166",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "ME",
            "license": "ALLS 3175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160420000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS ADMINISTRATION",
            "identifier": "88544745",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert and Mary's Place in Machias",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.