Graceful Residential Services LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GRACEFUL RESIDENTIAL SERVICES LLC

Practice address

10 Burnham St Apt 5
South Portland, ME 04106-4245

Phone

(207) 618-0881

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Egide Simbare, MBA-HCM

Title

Ceo

Phone

(207) 618-0881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1871372409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BURNHAM ST APT 5",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064245",
            "telephone_number": "207-618-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BURNHAM ST APT 5",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064245",
            "telephone_number": "207-618-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A",
        "authorized_official_last_name": "SIMBARE",
        "authorized_official_first_name": "EGIDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-618-0881",
        "authorized_official_credential": "MBA-HCM"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gouzie Associates, Inc.
• Sandra Jean Gowell, MANU.CERT.OF COMP.
• Robert Gowen, R.PH.
• Grace Residential Care LLC
• Sheila T. Grace, M.S.W.
• Margaret E. Grala, MD
• Alyssa Lee Grant, DPT
• Jeffrey L Grassmann, D.O.
• Great Home Healthcare LLC
• Greater Residential Care, LLC

• Adult Care Home Facility in South Portland, ME
• Providers in South Portland, ME by specialty
• Adult Care Home Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.