Active NPI
Adonai Mountain Transportation LLC
- Secured Medical Transport (VAN)
- Fort Worth, TX
National Provider Identifier
1255038618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- Legal business name
- ADONAI MOUNTAIN TRANSPORTATION LLC
- Practice address
- 9216 Pepper Grass Dr
Fort Worth, TX 76131 - Phone
- (817) 230-7178
- NPI assigned
- Feb 15, 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
- Bosco Ntarambirwa Manyota
- Title
- Owner
- Phone
- (817) 230-7118
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Transportation Network Company | 342000000X | |||
| Secured Medical Transport (VAN) | 343800000X | Primary | ||
| Transportation Broker | 347E00000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
9216 Pepper Grass Dr
Fort Worth, TX 76131
Mailing address
9216 Pepper Grass Dr
Fort Worth, TX 76131
Phone (817) 230-7178
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1255038618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9216 PEPPER GRASS DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76131",
"telephone_number": "817-230-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9216 PEPPER GRASS DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76131",
"telephone_number": "817-230-7178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADONAI MOUNTAIN TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-15",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "MANYOTA",
"authorized_official_first_name": "BOSCO",
"authorized_official_middle_name": "NTARAMBIRWA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-230-7118"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.