GRACE STREET SERVICES PORTLAND
NPI 1417494857
Substance Abuse Rehabilitation Facility in Portland, ME

Q: What is Grace Street Services, LLC's NPI number?

The NPI number for Grace Street Services, LLC is 1417494857. It was assigned to this organization in the NPPES registry on January 24, 2017. The provider is also known as Grace Street Services Portland.

Q: What is Grace Street Services, LLC's specialty?

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

Active since January 24, 2017

72 AUBURN ST, PORTLAND, ME 04103(207) 245-1800 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grace Street Services Portland NPPES

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

GRACE STREET SERVICES PORTLAND (NPI 1417494857) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Maine and active in the NPI registry since January 2017. The organization lists Brandy Boyle, Billing Contact, as its authorized official.

NPPES Registry Identity

NPI1417494857

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameGRACE STREET SERVICES, LLC

Location Address72 AUBURN STPortland, ME 04103-2104

Mailing Address550 Lisbon StLewiston, ME 04240-6580

Phone(207) 245-1800

Organization SubpartNo

Authorized OfficialBrandy BoyleBilling Contact · (207) 245-1800

Enumeration DateJanuary 24, 2017

✔ NPI 1417494857 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.

72 AUBURN ST, Portland, ME 04103

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Other Names 1

Other NameGrace Street Services Portland

Other Providers at the Same Location NPPES 2

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

HEATHER LYNN MALONEY CADC

Counselor (Addiction (Substance Use Disorder))

72 AUBURN ST
PORTLAND, ME 04103

Cumberland County (207) 245-1800

JASON WILLIAM NICKERSON CADC

Counselor (Addiction (Substance Use Disorder))

72 AUBURN ST
PORTLAND, ME 04103

Cumberland County (207) 245-1800

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 1417494857. It was assigned to this organization in the NPPES registry on January 24, 2017. The provider is also known as Grace Street Services Portland.

Where is Grace Street Services, LLC located?

Grace Street Services, LLC is located at 72 Auburn St, Portland, ME 04103. 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 January 24, 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.