Blue Grace Transportation LLC

Primary specialty

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

Legal business name

BLUE GRACE TRANSPORTATION LLC

Practice address

4114 Medical Dr Apt 19204
San Antonio, TX 78229-5662

Phone

(614) 852-0121

NPI assigned

Aug 13, 2026

Organization subpart

No

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

Authorized official

Name

Yohannes Abraha

Title

Owner

Phone

(614) 852-0121

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1740105980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 MEDICAL DR APT 19204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295662",
            "telephone_number": "614-852-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 MEDICAL DR APT 19204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295662",
            "telephone_number": "614-852-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE GRACE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "ABRAHA",
        "authorized_official_first_name": "YOHANNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-852-0121"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.