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).
| 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 |
| 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 |
| Street Address |
86 EUCLID AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-1240 |
| 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 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| 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 |
| 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 |
| 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.