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GRAND UNION HOLISTIC SOLUTIONS, LLC
NPI 1003677998
Clinic/Center - Rehabilitation, Substance Use Disorder in Staten Island, NY

Active since January 18, 2024CLIA 33D2309779 · Waiver
1150 SOUTH AVE STE 200, STATEN ISLAND, NY 10314(929) 487-0003 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand Union Holistic Solutions, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND UNION HOLISTIC SOLUTIONS, LLC (NPI 1003677998) is a healthcare organization registered as a rehabilitation, substance use disorder in Staten Island, New York and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jeffery Klein, President, as its authorized official.

NPPES Registry Identity

NPI1003677998
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGRAND UNION HOLISTIC SOLUTIONS, LLC
Location Address1150 SOUTH AVE STE 200Staten Island, NY 10314-3404
Mailing Address1150 South Ave Ste 200Staten Island, NY 10314-3404 · (929) 487-0003
Phone(929) 487-0003
Organization SubpartNo
Authorized OfficialJeffery KleinPresident · (929) 487-0003
Enumeration DateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1003677998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1150 SOUTH AVE STE 200, Staten Island, NY 10314
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2309779

Grand Union Holistic Solutions LLC · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2309779
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Sangeet Khanna
Laboratory Phone(929) 487-0003
Laboratory LocationGrand Union Holistic Solutions LLC1150 South Ave - Suite 200, Staten Island, NY 10314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER LYNN KAYA
Counselor (Addiction (Substance Use Disorder))
1150 SOUTH AVE STE 200
STATEN ISLAND, NY 10314
Richmond County (929) 487-0003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Union Holistic Solutions, LLC's NPI number?

The NPI number for Grand Union Holistic Solutions, LLC is 1003677998. It was assigned to this organization in the NPPES registry on January 18, 2024.

Where is Grand Union Holistic Solutions, LLC located?

Grand Union Holistic Solutions, LLC is located at 1150 South Ave Ste 200, Staten Island, NY 10314. The listed phone number is (929) 487-0003.

What is Grand Union Holistic Solutions, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Grand Union Holistic Solutions, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2309779) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand Union Holistic Solutions, LLC was last updated on January 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.