Lady Grace Stores, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LADY GRACE STORES, INC.

Practice address

440 Middlesex Rd
Tyngsboro, MA 01879-1070

Phone

(978) 649-3942

NPI assigned

Jun 15, 2009

Last updated

Jun 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

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

  dba Dasco HME

  • Oxygen Equipment & Supplies (DME)
  • Huber Heights, OH
  • NPI 1144466467

  Member Of

  NPD member

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1780811919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MIDDLESEX RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MIDDLESEX RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791070",
            "telephone_number": "978-649-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY GRACE STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "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"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kapsou, D.M.D.
• Katelyn Ruth Keefe
• Ronald Kimbugwe
• Harry T. Ku, D.M.D.
• Christine Mary Labrecque, ACUPUNTURE
• Debra Lee Lastoff, MED LMFT
• Karen Anne Mahon, MSW LICSW
• Robert Lindsay Mandell, D.M. D. , M.M.SC.
• Wendy Matteson
• Jane McKeon, LICSW

• Prosthetic/Orthotic Supplier in Tyngsboro, MA
• Providers in Tyngsboro, 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 15, 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.