Organization Active NPI

Grand Therapeutic Services LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baltimore, MD
National Provider Identifier
1114502135
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
GRAND THERAPEUTIC SERVICES LLC
Doing business as
Grand Therapeutic Services
Practice address
36 S Charles St Ste 203
Baltimore, MD 21201-3121
Phone
(410) 878-1014
Fax
(404) 393-5069
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stanley Troyd Legrand, OTR/L; CAPSNPI 1114429792
Title
Operator
Phone
(678) 900-4118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

36 S Charles St Ste 203
Baltimore, MD 21201-3121

Mailing address

36 S Charles St Ste 203
Baltimore, MD 21201-3121
Phone (410) 878-1014

Other names 1

  • Grand Therapeutic Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1114502135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 S CHARLES ST STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013121",
            "telephone_number": "410-878-1014",
            "fax_number": "404-393-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S CHARLES ST STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013121",
            "telephone_number": "410-878-1014",
            "fax_number": "404-393-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "LEGRAND",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "TROYD",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "678-900-4118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L; CAPS"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.