Organization Active NPI

Godsgrace

  • Secured Medical Transport (VAN)
  • Pantego, TX
National Provider Identifier
1023718491
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Mr. Abiola Hammed OduNPI 1366142499
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.