Organization Active NPI

Guardian Mobile Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Blytheville, AR
National Provider Identifier
1174456495
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GUARDIAN MOBILE TRANSPORT LLC
Practice address
325 Dougan St
Blytheville, AR 72315-2907
Phone
(870) 278-0263
NPI assigned
Jun 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Mr. Paris D Graves
Title
Owner
Phone
(870) 278-0263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

325 Dougan St
Blytheville, AR 72315-2907

Mailing address

325 Dougan St
Blytheville, AR 72315-2907
Phone (870) 278-0263

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1174456495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DOUGAN ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152907",
            "telephone_number": "870-278-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 DOUGAN ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152907",
            "telephone_number": "870-278-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN MOBILE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "PARIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-278-0263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.