Active NPI
Godgrace Health Transport, LLC.
- Non-emergency Medical Transport (VAN)
- Davenport, FL
National Provider Identifier
1477166262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amaury Li
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wellryde.com | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Other Technician
- Davenport, FL
- NPI 1104439579
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.