MR. RANDALL S ROBERTS
NPI 1649404609
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Patten, ME

Q: What is Randall Roberts's NPI number?

The NPI number for Randall Roberts is 1649404609. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Q: What is Randall Roberts's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Roberts was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 06, 2009

52 GARDNER STREET, APT A, PATTEN, ME 04765(207) 538-5279 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Randall S Roberts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDALL S ROBERTS (NPI 1649404609) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Patten, Maine and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1649404609

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameMR. RANDALL S ROBERTS

Location Address52 GARDNER STREET, APT APatten, ME 04765

Mailing AddressPo Box 226Patten, ME 04765-0226 · (207) 538-5279

Phone(207) 538-5279

Sole ProprietorYes

Enumeration DateMay 6, 2009

✔ NPI 1649404609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

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

52 GARDNER STREET, Patten, ME 04765

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Other Identifiers 1

Medicaid432861500ME

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Roberts's NPI number?

The NPI number for Randall Roberts is 1649404609. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Randall Roberts located?

Randall Roberts practices at 52 Gardner Street Apt A, Patten, ME 04765. The listed phone number is (207) 538-5279.

What is Randall Roberts's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Randall Roberts was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.