GRACE STREET SERVICES, LLC – NPI #1023556776
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.

GRACE STREET SERVICES, LLC is a substance abuse rehabilitation facility located in SANFORD, ME. NPPES has assigned the NPI number 1023556776 to GRACE STREET SERVICES, LLC on February 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GRACE STREET SERVICES, LLC is also known by the name GRACE STREET SOUTH. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 GRACE STREET SERVICES, LLC below.

NPI Profile for
GRACE STREET SERVICES, LLC

NPI Number
1023556776
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACE STREET SERVICES, LLC
Other Name: GRACE STREET SOUTH
Primary location
69 EAGLE DRIVE
SANFORD, ME 04073
Phone: (207) 245-1800 Fax:
Mailing address
550 LISBON ST
LEWISTON, ME 04240-6580
Phone: Fax:
Organization Subpart
No
Authorized Official
BRANDY BOYLE
BILLING CONTACT
Phone: (207) 245-1800
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (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.