Organization Active NPI

The Grace Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Lewiston, ME
National Provider Identifier
1649043548
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THE GRACE SERVICES LLC
Practice address
10 Columbia St Unit 2
Lewiston, ME 04240-4802
Phone
(207) 352-8862
NPI assigned
Nov 1, 2023
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Ednock Ntungumu KhondeNPI 1851163497
Title
Owner/Administrator
Phone
(207) 352-8862

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

10 Columbia St Unit 2
Lewiston, ME 04240-4802

Mailing address

10 Columbia St Unit 2
Lewiston, ME 04240-4802
Phone (207) 352-8862

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1649043548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COLUMBIA ST UNIT 2",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404802",
            "telephone_number": "207-352-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COLUMBIA ST UNIT 2",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404802",
            "telephone_number": "207-352-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRACE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "KHONDE",
        "authorized_official_first_name": "EDNOCK",
        "authorized_official_middle_name": "NTUNGUMU",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "207-352-8862"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.