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GRAVOIS BOULEVARD LLC
NPI 1629940499
Non-emergency Medical Transport (VAN) in Saint Louis, MO

Active since September 22, 2025
5045 GRAVOIS AVE, SAINT LOUIS, MO 63116(314) 435-1577 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gravois Boulevard Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAVOIS BOULEVARD LLC (NPI 1629940499) is a healthcare organization registered as a non-emergency medical transport (van) in Saint Louis, Missouri and active in the NPI registry since September 2025. The organization lists Endy Beganovic, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1629940499
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NameGRAVOIS BOULEVARD LLC
Location Address5045 GRAVOIS AVESaint Louis, MO 63116-2342
Mailing Address5045 Gravois Ave # ASaint Louis, MO 63116-2342 · (314) 435-1577
Phone(314) 435-1577
Organization SubpartNo
Authorized OfficialEndy BeganovicCo-owner · (314) 435-1577
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1629940499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
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.
5045 GRAVOIS AVE, Saint Louis, MO 63116
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gravois Boulevard LLC's NPI number?

The NPI number for Gravois Boulevard LLC is 1629940499. It was assigned to this organization in the NPPES registry on September 22, 2025.

Where is Gravois Boulevard LLC located?

Gravois Boulevard LLC is located at 5045 Gravois Ave, Saint Louis, MO 63116. The listed phone number is (314) 435-1577.

What is Gravois Boulevard LLC's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Gravois Boulevard LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.