Grant Your Wish Medical Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GRANT YOUR WISH MEDICAL TRANSPORT

Practice address

1140 Kildaire Farm Rd Ste 308-2
Cary, NC 27511-4562

Phone

(919) 916-5502

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Victoria Grant

Title

Director

Phone

(919) 916-5502

Specialties & licenses 1

Addresses

Other names 1

• Grant Your Wish Senior Transportation Services, LLC. Former legal business name

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1003395500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114562",
            "telephone_number": "919-916-5502",
            "fax_number": "919-916-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 KILDAIRE FARM RD STE 308-2",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114562",
            "telephone_number": "919-916-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT YOUR WISH MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-916-5502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Your Wish Senior Transportation Services, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark Leo Graham II, M.D.
• Sara Joan Graham
• Shakoya L Grahan
• Lisa M Grana, M.D.
• Grant Your Wish Home Care
• Daneisha Grant
• Dreama Grantham, PHARMD
• Grateful Growth Counseling and Consulting, PLLC
• Jessica Ellen Graul, BCBA
• Kristina Melinda Graven, OTR/L

• Non-emergency Medical Transport (VAN) in Cary, NC
• Providers in Cary, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.