Organization Active NPI

Grandville Corporation

  • Non-emergency Medical Transport (VAN)
  • Elk Grove, CA
National Provider Identifier
1437334091
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
143763 Issued in CA
Legal business name
GRANDVILLE CORPORATION
Practice address
8521 Dewberry Way
Elk Grove, CA 95624-1246
Phone
(961) 224-5352
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
George G Bell
Title
President
Phone
(916) 224-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 143763 CA Primary

Addresses

Primary practice location

8521 Dewberry Way
Elk Grove, CA 95624-1246

Mailing address

8521 Dewberry Way
Elk Grove, CA 95624-1246
Phone (961) 224-5352

Other identifiers 1

IdentifierTypeStateIssuer
MTN01205GMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1437334091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 DEWBERRY WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241246",
            "telephone_number": "961-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 DEWBERRY WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241246",
            "telephone_number": "961-224-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVILLE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-224-5352"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "143763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01205G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.