GRANDE INTEGRATED WELLNESS SOLUTIONS LLC; NPI #1982435566

Contact Information

GRANDE INTEGRATED WELLNESS SOLUTIONS LLC

5201 N 19TH AVE
PHOENIX, AZ 85015-2951

Phone: 404-447-0127
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Community/Behavioral Health	251S00000X
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	B4[14]	Comprehensive Outpatient Rehabilitation Facility
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for GRANDE INTEGRATED WELLNESS SOLUTIONS LLC

NPI #	`1982435566`
LBN Legal business name	GRANDE INTEGRATED WELLNESS SOLUTIONS LLC
Authorized official	WINSTON ONYEANI - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/13/2024
Last updated	09/05/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GRANDE INTEGRATED WELLNESS SOLUTIONS LLC

Contact Information

Specialty

Multi-Specialty

Community/Behavioral Health

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Urgent Care

NPI Profile & details for GRANDE INTEGRATED WELLNESS SOLUTIONS LLC

Reviews for GRANDE INTEGRATED WELLNESS SOLUTIONS LLC