Provider Demographics
NPI:1043991623
Name:GRACE 4 HEROES TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GRACE 4 HEROES TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-221-6123
Mailing Address - Street 1:8936 NORTHPOINTE EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078
Mailing Address - Country:US
Mailing Address - Phone:704-666-5350
Mailing Address - Fax:
Practice Address - Street 1:8936 NORTHPOINTE EXECUTIVE PARK DR
Practice Address - Street 2:STE 260
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-2807
Practice Address - Country:US
Practice Address - Phone:980-221-6123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)