KTJJ Group LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

KTJJ GROUP LLC

Doing business as

Grandspace Medical Transportation

Practice address

11969 Plano Rd Ste 150
Dallas, TX 75243-5487

Phone

(469) 386-1506

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Temitope Olojede

Title

President

Phone

(469) 386-1506

Specialties & licenses 2

Addresses

Other names 1

• GRANDSPACE MEDICAL TRANSPORTATION Doing business as

Locations

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1477303550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 RANCH HOUSE RD",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750096654",
            "telephone_number": "469-386-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11969 PLANO RD STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435487",
            "telephone_number": "469-386-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTJJ GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "OLOJEDE",
        "authorized_official_first_name": "TEMITOPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-386-1506"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANDSPACE MEDICAL TRANSPORTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Secured Medical Transport (VAN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.