Lady Grace Stores, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LADY GRACE STORES, INC.

Practice address

790 Iyannough Rd
Hyannis, MA 02601-4916

Phone

(508) 771-3608

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bruce I Green

Title

Treasurer

Phone

(781) 322-1721

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dasco HME, LLC

  • Oxygen Equipment & Supplies (DME)
  • Lima, OH
  • NPI 1275504946

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1679700991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 IYANNOUGH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026014916",
            "telephone_number": "508-771-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 IYANNOUGH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026014916",
            "telephone_number": "508-771-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY GRACE STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-322-1721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zlatan Kurjakovic, MD
• Stephen Peter Labran, P.SY.D.
• Mark David Lacava, DMD
• Cheryl A Lacey, PTA
• Steven T Lacy, MD
• Paul E Laemmle, PH.D.
• Timothy P Laird, MA LMHC
• Lam Eye Care, Inc.
• Eda Wing-Hing Lam, O.D.
• Phoebe Baldwin Lambert, LCSW, MSW, MED

• Prosthetic/Orthotic Supplier in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.