GRACE SUPPORT SERVICES, LLC


Address: 86 Euclid Ave, Portland, ME 04103-1240
Phone: 2076508902

GRACE SUPPORT SERVICES, LLC (NPI# 1538705637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538705637
Entity Type Organization
Organization Name GRACE SUPPORT SERVICES, LLC
Practice Address 86 Euclid Ave
Portland
ME 04103-1240
Practice Telephone 2076508902
Mailing Telephone 2076508902
Enumeration Date 2019-11-23
Last Update Date 2019-11-23
Authorized Official Name EDWARD LORO (CEO)
Authorized Official Telephone 2076508902
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 86 EUCLID AVE
City PORTLAND
State ME
Zip Code 04103-1240

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154948206 Quality Care Access, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 22 Wayne St, Portland, ME 04102-2228 2020-07-05
1467097709 Pine Peak Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1395 Congress St, Portland, ME 04102-2120 2019-11-11
1306480108 Pine Peak Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13 Sara Ln, Portland, ME 04103-3622 2019-11-05
1578069415 Outfront Jb Family Residential Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 41 Front St, Portland, ME 04103-4951 2018-03-31
1023356391 Trust Home Healthcare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10706 Sw Capitol Hwy Apt 58, Portland, OR 97219-6880 2013-01-22
1700116639 Care and Hope Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2 Horton Pl # 1, Portland, ME 04102-3310 2009-12-25
1427414473 Seneca Behavioral Health, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 68 Bishop St, Portland, ME 04103-2681 2016-01-06
1568639078 Albertina Kerr Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 722 Ne 162nd Ave, Portland, OR 97230-5760 2008-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710585591 Assurance Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10 Gracelawn Rd Apt 3, Auburn, ME 04210-6557 2020-10-13
1033722236 Maine Shared Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 715 Upper St, Turner, ME 04282-3808 2020-08-26
1730797465 Dirigo Support Professionals LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 176 Broad St Apt 1, Auburn, ME 04210-5610 2020-07-20
1558987438 Moonlight Group Homes LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 253 Lisbon Street, Lewiston, ME 04240-7704 2020-06-17
1629617477 Compass Bridges LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14 Arrowhead Dr, Brunswick, ME 04011-7420 2019-12-26
1821648650 Advanced Care Solutions LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 88 Knox St, Lewiston, ME 04240-7406 2019-09-13
1568025658 Hopestone LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 49 Cushman Rd, Winslow, ME 04901-7212 2019-04-15
1023558012 Tiffany Norton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 518 N Clary Rd, Jefferson, ME 04348-4067 2017-02-24
1225497902 Freedom First Support Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5 Warren Ter, Winslow, ME 04901-7612 2016-02-23
1063818367 Quality Care Group Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 532 Hammond St, Bangor, ME 04401-4544 2014-11-13
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Competitor

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City PORTLAND
Zip Code 04103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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