Organization · NPI-2

Adonai Mountain Transportation LLC

Secured Medical Transport (VAN) · Fort Worth, TX

NPI number1255038618

StatusActive

Last updated in NPPESMay 6, 2025

Details

NPI: 1255038618
Entity type: Organization (NPI-2)
Legal business name: Adonai Mountain Transportation LLC
Organization subpart: No
Enumeration date: Feb 15, 2023
Certification date: May 6, 2025
Last updated: May 6, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
343800000X	Secured Medical Transport (VAN)	–	–	Yes
347E00000X	Transportation Broker	–	–
374U00000X	Home Health Aide	–	–
310400000X	Assisted Living Facility	–	–
315P00000X	Intermediate Care Facility, Intellectual Disabilities	–	–
342000000X	Transportation Network Company	–	–

Practice location

9216 Pepper Grass Dr
Fort Worth, TX 76131

Phone 817-230-7178

Mailing address

9216 Pepper Grass Dr
Fort Worth, TX 76131

Phone 817-230-7178

Authorized official

Bosco Ntarambirwa Manyota
Owner
8172307118

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