LADY GRACE STORES, INC.
NPI 1700013935
Prosthetic/Orthotic Supplier in South Portland, ME

Q: What is Lady Grace Stores, Inc.'s NPI number?

The NPI number for Lady Grace Stores, Inc. is 1700013935. It was assigned to this organization in the NPPES registry on June 15, 2009.

Q: What is Lady Grace Stores, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since June 15, 2009

343 GORHAM RD, SOUTH PORTLAND, ME 04106(207) 774-8139 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lady Grace Stores, Inc. NPPES

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

LADY GRACE STORES, INC. (NPI 1700013935) is a healthcare organization registered as a prosthetic/orthotic supplier in South Portland, Maine and active in the NPI registry since June 2009. The organization lists Bruce I Green, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1700013935

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameLADY GRACE STORES, INC.

Location Address343 GORHAM RDSouth Portland, ME 04106-2317

Mailing Address343 Gorham RdSouth Portland, ME 04106-2317 · (207) 774-8139

Phone(207) 774-8139

Organization SubpartNo

Authorized OfficialBruce I GreenTreasurer · (781) 322-1721

Enumeration DateJune 15, 2009

✔ NPI 1700013935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

343 GORHAM RD, South Portland, ME 04106

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Other Identifiers 1

Medicare NSC0664640002

Other Providers at the Same Location NPPES

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

COASTAL RECOVERY PARTNERS LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

343 GORHAM RD
SOUTH PORTLAND, ME 04106

Cumberland County (207) 500-1320

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 Lady Grace Stores, Inc.'s NPI number?

The NPI number for Lady Grace Stores, Inc. is 1700013935. It was assigned to this organization in the NPPES registry on June 15, 2009.

Where is Lady Grace Stores, Inc. located?

Lady Grace Stores, Inc. is located at 343 Gorham Rd, South Portland, ME 04106. The listed phone number is (207) 774-8139.

What is Lady Grace Stores, Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Lady Grace Stores, Inc. was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.