GRACE STREET SOUTH
NPI 1023556776
Substance Abuse Rehabilitation Facility in Sanford, ME

Active since February 02, 2017
69 EAGLE DRIVE, SANFORD, ME 04073(207) 245-1800 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Street South NPPES

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

GRACE STREET SOUTH (NPI 1023556776) is a healthcare organization registered as a substance abuse rehabilitation facility in Sanford, Maine and active in the NPI registry since February 2017. The organization lists Brandy Boyle, Billing Contact, as its authorized official.

NPPES Registry Identity

NPI1023556776
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGRACE STREET SERVICES, LLC
Location Address69 EAGLE DRIVESanford, ME 04073
Mailing Address550 Lisbon StLewiston, ME 04240-6580
Organization SubpartNo
Authorized OfficialBrandy BoyleBilling Contact · (207) 245-1800
Enumeration DateFebruary 2, 2017
NPI 1023556776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
69 EAGLE DRIVE, Sanford, ME 04073

Other Names 1

Other NameGrace Street South

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
69 EAGLE DRIVE
SANFORD, ME 04073

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 Grace Street Services, LLC's NPI number?

The NPI number for Grace Street Services, LLC is 1023556776. It was assigned to this organization in the NPPES registry on February 2, 2017. The provider is also known as Grace Street South.

Where is Grace Street Services, LLC located?

Grace Street Services, LLC is located at 69 Eagle Drive, Sanford, ME 04073. The listed phone number is (207) 245-1800.

What is Grace Street Services, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Grace Street Services, LLC was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.