Provider Demographics
NPI:1356949580
Name:GRACE NEMT LLC
Entity type:Organization
Organization Name:GRACE NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BHANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-548-9068
Mailing Address - Street 1:7713 MOURNING DOVE LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5381
Mailing Address - Country:US
Mailing Address - Phone:513-816-5195
Mailing Address - Fax:614-386-1244
Practice Address - Street 1:7713 MOURNING DOVE LN
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-5381
Practice Address - Country:US
Practice Address - Phone:513-816-5195
Practice Address - Fax:614-386-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-10
Last Update Date:2020-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)