Grande Integrated Wellness Solutions LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GRANDE INTEGRATED WELLNESS SOLUTIONS LLC

Practice address

5201 N 19TH Ave
Phoenix, AZ 85015-2951

Phone

(404) 447-0127

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Winston Onyeani

Title

Owner

Phone

(404) 447-0127

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1982435566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152951",
            "telephone_number": "404-447-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDE INTEGRATED WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "ONYEANI",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-447-0127"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Canyon University
• Grand Canyon Wellness Center
• Grand Desert Home Health, LLC
• Grand Services and More LLC
• Grand Therapy LTD
• Grande Integrated Wellness Solutions LLC
• Cheryl Grandone, MD
• William Grandt, PHARMD
• Grandview Care LLC
• Zayden Ray Grandys-Schultz

• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.