Grandi Cancelli 2, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

GRANDI CANCELLI 2, LLC

Practice address

17199 N Laurel Park Dr Ste 401
Livonia, MI 48152-7905

Phone

(734) 855-7187

Fax

(734) 293-0086

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Monique Kurkowski, CCM

Title

President

Phone

(734) 855-7187

Specialties & licenses 1

Addresses

Other names 1

• Sage NeuroWellness Doing business as

Locations

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1902477243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17199 N LAUREL PARK DR STE 401",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527905",
            "telephone_number": "734-855-7187",
            "fax_number": "734-293-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17199 N LAUREL PARK DR STE 401",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527905",
            "telephone_number": "734-855-7187",
            "fax_number": "734-293-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDI CANCELLI 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "KURKOWSKI",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-855-7187",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCM"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage NeuroWellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Grad
• Jasmine Grady
• Sharon Graff, C.N.P
• Keith Edward Graham, CERTIFIED PEER RECOV
• Robert Keith Graham, DCSW
• Lauren Grasso, DO
• Nicole Marie Grates, PTA
• Gray Fox Counseling, PLLC
• Gray Fox Counseling, PLLC
• Logan Gray, MSW, LLMSW

• Case Manager/Care Coordinator in Livonia, MI
• Providers in Livonia, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.