Madison'S Grace Enterprise LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MADISON'S GRACE ENTERPRISE LLC

Doing business as

Travel With Grace

Practice address

137 Apple Tree Cir Ste 1475
North Little Rock, AR 72118-1156

Phone

(501) 613-8117

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Shavarius Gaston

Title

Owner

Phone

(501) 613-8117

Specialties & licenses 1

Addresses

Other names 1

• Travel With Grace Doing business as

Practitioners 2

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

• Amanda Davis

  • Behavior Technician
  • Phoenix, AZ
  • NPI 1922882760
  NPD
• Louis Scott Jr.

  • Behavior Technician
  • Phoenix, AZ
  • NPI 1699559435
  NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1669239885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 APPLE TREE CIR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181156",
            "telephone_number": "501-613-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 APPLE TREE CIR STE 1475",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181156",
            "telephone_number": "501-613-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON'S GRACE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "SHAVARIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-613-8117"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Travel With Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delaney Lyon
• Douglas W Lyons
• Dannie Laine Maddox, RNP
• Kristen Lorriane Maddox, M.S., CCC-SLP
• Leigh Madison, LCSW
• Laura Joyce Magee, MSW
• Christopher Rankin Magnante, PSYD
• Jennifer Mainali
• Oussama Francois James Makhoul
• Alexander Malati, DO

• Non-emergency Medical Transport (VAN) in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Non-emergency Medical Transport (VAN) in Arkansas

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