GRACE STREET SERVICES, LLC (NPI# 1568900074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568900074 |
| Entity Type | Organization |
| Organization Name | GRACE STREET SERVICES, LLC |
| Other Organization Name | 88 OXFORD STREET |
| Practice Address |
88 Oxford St Lewiston ME 04240-7825 |
| Mailing Address |
550 Lisbon St Lewiston ME 04240-6580 |
| Practice Telephone | 2707950149 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | BRANDY BOYLE (BILLING CONTACT) |
| Authorized Official Telephone | 2075140832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 88 Oxford Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1417494857 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 72 Auburn St, Portland, ME 04103-2104 | 2017-01-24 |
| Street Address |
88 OXFORD ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972970341 | Provider Laboratory Services LLC | Clinical Medical Laboratory | 88 Oxford St, Lewiston, ME 04240-7825 | 2015-09-01 |
| 1972076065 | Keith Mcdonald | Counselor | 88 Oxford St, Lewiston, ME 04240-7825 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174936 | El Rancho De La Vida | Substance Abuse Rehabilitation Facility | 62 Page Terrace, Fairfield, ME 04944 | 2020-05-06 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1275723371 | Outpatient Chemical Dependency Agency | Substance Abuse Rehabilitation Facility | 185 Harlow St, Bangor, ME 04401-9101 | 2007-07-26 |
| 1144432907 | Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 30 Mellen St, Portland, ME 04101-2110 | 2007-05-04 |
| 1063548436 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 65 India St, Portland, ME 04101-4209 | 2007-02-27 |
| 1396889374 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2007-02-16 |
| 1912538430 | The Charlie Mike Project | Substance Abuse Rehabilitation Facility | 213 W Broadway, Lincoln, ME 04457-4001 | 2020-02-03 |
| 1730673088 | Pine Tree Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 17 Bishop St, Portland, ME 04103-2659 | 2018-06-20 |
| 1417494857 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 72 Auburn St, Portland, ME 04103-2104 | 2017-01-24 |
| 1508254699 | Wellspring, Inc. | Substance Abuse Rehabilitation Facility | 98 Cumberland St, Bangor, ME 04401-5234 | 2014-12-26 |
| Find all providers with the same taxonomy | ||||
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| 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.