Active NPI
Godsgrace
- Secured Medical Transport (VAN)
- Pantego, TX
National Provider Identifier
1023718491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- Legal business name
- GODSGRACE
- Practice address
- 3610 W Pioneer Pkwy Ste 103
Pantego, TX 76013-4502 - Phone
- (469) 254-5166
- NPI assigned
- Mar 6, 2023
- Last updated
- Mar 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abiola Hammed Odu
- Title
- Owner
- Phone
- (469) 254-5166
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | NU | Primary | |
| Social Worker | 104100000X | NU | ||
| Driver | 172A00000X | NU |
Addresses
Primary practice location
3610 W Pioneer Pkwy Ste 103
Pantego, TX 76013-4502
Mailing address
2212 E Park Row Dr Apt L
Arlington, TX 76010-4816
Phone (469) 254-5166
National Provider Directory
National Provider DirectoryLocations
3610 W Pioneer Pkwy
Ste 103
Pantego, TX 76013
Phone (469) 254-5166
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Transportation Network Company
- Pantego, TX
- NPI 1366142499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1023718491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 E PARK ROW DR APT L",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760104816",
"telephone_number": "469-254-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 W PIONEER PKWY STE 103",
"city": "PANTEGO",
"state": "TX",
"postal_code": "760134502",
"telephone_number": "469-254-5166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GODSGRACE",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A",
"authorized_official_last_name": "ODU",
"authorized_official_first_name": "ABIOLA",
"authorized_official_middle_name": "HAMMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-254-5166",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pantego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.