Provider Demographics
NPI:1912748393
Name:GRATEFUL COMMUNITY SYSTEMS LLC.
Entity type:Organization
Organization Name:GRATEFUL COMMUNITY SYSTEMS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAKIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-248-1589
Mailing Address - Street 1:44 NEW ENGLAND RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-0527
Mailing Address - Country:US
Mailing Address - Phone:207-248-1589
Mailing Address - Fax:
Practice Address - Street 1:44 NEW ENGLAND RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-0527
Practice Address - Country:US
Practice Address - Phone:207-248-1589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-01
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)