Healthcare Provider Details

I. General information

NPI: 1871424069
Provider Name (Legal Business Name): GRATISFARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10834 HAUSER ST
LENEXA KS
66210-3717
US

IV. Provider business mailing address

10834 HAUSER ST
LENEXA KS
66210-3717
US

V. Phone/Fax

Practice location:
  • Phone: 913-602-2041
  • Fax: 913-602-2041
Mailing address:
  • Phone: 913-602-2041
  • Fax: 913-602-2041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BRET JOHNSON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 913-602-2041