Organization Active NPI

Grace Residential Care LLC

  • Assisted Living Facility
  • South Portland, ME
National Provider Identifier
1487501979
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRACE RESIDENTIAL CARE LLC
Practice address
46 Cannon Rd
South Portland, ME 04106-1802
Phone
(937) 760-3418
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Mr. John Nshizirungu
Title
Partner
Phone
(937) 760-3418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

46 Cannon Rd
South Portland, ME 04106-1802

Mailing address

46 Cannon Rd
South Portland, ME 04106-1802
Phone (937) 760-3418

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1487501979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CANNON RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061802",
            "telephone_number": "937-760-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CANNON RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061802",
            "telephone_number": "937-760-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "NSHIZIRUNGU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-760-3418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.