Grand Union Holistic Solutions, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GRAND UNION HOLISTIC SOLUTIONS, LLC

Practice address

1150 South Ave Ste 200
Staten Island, NY 10314-3404

Phone

(929) 487-0003

NPI assigned

Jan 18, 2024

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffery Klein

Title

President

Phone

(929) 487-0003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sangeet Khanna

  • Psychiatry Physician
  • New York, NY
  • NPI 1225298896
  Medicare reassignment NPD
• Jennifer Lynn Kaya

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1043046436

  Multi-Specialty

  NPD
• Arlene Mills, CASAC T

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
  • NPI 1073322855
  NPD
• Katalin Kozlik

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1154772069
  NPD (past)
• Kolawole Adeoti

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackettstown, NJ
  • NPI 1629454533
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1003677998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SOUTH AVE STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143404",
            "telephone_number": "929-487-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SOUTH AVE STE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143404",
            "telephone_number": "929-487-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND UNION HOLISTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-487-0003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Renee Ricafrente Grageda, M.D.
• Erin Graham
• Elizabeth Lynn Gramlich
• Theresa Gramprey, R.N.
• Grand Home Care, Inc
• Maria Grande, M.A.,OTR/L
• Danielle Marie Grandner, PA
• Victoria Granovsky
• Grant City Chiropractic, P.C.
• Amy Elizabeth Grant, M.A. CCC-SLP

• Substance Use Disorder Rehabilitation Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.