Organization Active NPI

Grace Travel LLC

  • Non-emergency Medical Transport (VAN)
  • Minneapolis, MN
National Provider Identifier
1497133169
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GRACE TRAVEL LLC
Practice address
4721 Hiawatha Ave
Minneapolis, MN 55406-3928
Phone
(612) 328-4819
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Christiana Greene
Title
Ceo
Phone
(612) 328-4819

Specialties & licenses 1

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

Addresses

Primary practice location

4721 Hiawatha Ave
Minneapolis, MN 55406-3928

Mailing address

4721 Hiawatha Ave
Minneapolis, MN 55406-3928
Phone (612) 328-4819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1497133169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 HIAWATHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063928",
            "telephone_number": "612-328-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 HIAWATHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063928",
            "telephone_number": "612-328-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE TRAVEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-328-4819"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.