RANDALL S. ROBERTS – NPI #1649404609
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

RANDALL ROBERTS is a community based residential treatment facility located in PATTEN, ME. NPPES has assigned the NPI number 1649404609 to RANDALL ROBERTS on May 06, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL ROBERTS below.

NPI Profile for
RANDALL S. ROBERTS

NPI Number
1649404609
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL S. ROBERTS
Primary location
52 GARDNER STREET
APT A
PATTEN, ME 04765
Phone: (207) 538-5279 Fax:
Mailing address
PO BOX 226
PATTEN, ME 04765-0226
Phone: (207) 538-5279 Fax:
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for RANDALL ROBERTS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDME432861500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.