GRACIOUS HEALTHCARE SERVICES NPI 1093194862

NPI Information

  • NPI: 1093194862
  • Provider Name: GRACIOUS HEALTHCARE SERVICES
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Organization
  • Address: 12300 WALNUT DR
    ROGERS, MN
    ZIP 55374
  • Phone: (763) 587-5207

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NPI Details

GRACIOUS HEALTHCARE SERVICES is a non emergency medical transport van in Rogers, MN. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. GRACIOUS HEALTHCARE SERVICES NPI is 1093194862. The provider is registered as an organization entity type.

The provider's business location address is:

12300 WALNUT DR
ROGERS, MN
ZIP 55374-514
Phone: (763) 587-5207
Fax: (800) 948-0582

The provider's authorized official is Samuel Ngor Ongethi .
The authorized official title is Manager/owner and has the following contact phone number (763) 587-5207.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 5/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)377324MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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