Organization Active NPI

Godgrace Health Transport, LLC.

  • Non-emergency Medical Transport (VAN)
  • Davenport, FL
National Provider Identifier
1477166262
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GODGRACE HEALTH TRANSPORT, LLC.
Practice address
265 Highgate Park Blvd
Davenport, FL 33897-7732
Phone
(305) 842-6182
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Mr. Amaury LiNPI 1104439579
Title
Owner/Ceo
Phone
(305) 842-6182

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 1

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

Addresses

Primary practice location

265 Highgate Park Blvd
Davenport, FL 33897-7732

Mailing address

265 Highgate Park Blvd
Davenport, FL 33897-7732
Phone (305) 842-6182

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wellryde.com Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1477166262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 HIGHGATE PARK BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338977732",
            "telephone_number": "305-842-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 HIGHGATE PARK BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338977732",
            "telephone_number": "305-842-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODGRACE HEALTH TRANSPORT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "AMAURY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "305-842-6182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wellryde.com",
            "affiliation": "N",
            "endpointDescription": "Book and Bill trips",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "logisticare.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "We work for Logisticare, they send us trips but we do not receive healthcare detailed information",
            "address_1": "265 Highgate Park Blvd",
            "city": "Davenport",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338977732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.