Organization Active NPI

Beyond Grace Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Blaine, MN
National Provider Identifier
1659112738
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BEYOND GRACE TRANSPORT LLC
Practice address
9436 Ulysses St NE Unit 220
Blaine, MN 55434-3582
Phone
(763) 439-0613
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Josephine Isabella Dennis
Title
Owner
Phone
(763) 439-0613

Specialties & licenses 1

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

Addresses

Primary practice location

9436 Ulysses St NE Unit 220
Blaine, MN 55434-3582

Mailing address

9436 Ulysses St NE Unit 220
Blaine, MN 55434-3582
Phone (763) 439-0613

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1659112738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 ULYSSES ST NE UNIT 220",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343582",
            "telephone_number": "763-439-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 ULYSSES ST NE UNIT 220",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343582",
            "telephone_number": "763-439-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND GRACE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "ISABELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-439-0613"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.