GRANDE INTEGRATED WELLNESS SOLUTIONS LLC
NPI 1982435566
Clinic/Center - Multi-Specialty in Phoenix, AZ

NPI Status: Active since August 13, 2024

Contact Information

5201 N 19TH AVE
PHOENIX, AZ
ZIP 85015
Phone: (404) 447-0127

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 03D2302350
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 04-08-2026

About GRANDE INTEGRATED WELLNESS SOLUTIONS LLC

This page provides the complete NPI Profile along with additional information for Grande Integrated Wellness Solutions Llc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1982435566 assigned on August 2024. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Winston Onyeani (Owner)

NPI
1982435566
Provider Name
GRANDE INTEGRATED WELLNESS SOLUTIONS LLC
Entity Type
Organization
Location Address
5201 N 19TH AVE PHOENIX, AZ 85015
Location Phone
(404) 447-0127
Mailing Address
5201 N 19TH AVE PHOENIX, AZ 85015
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-13-2024
Last Update Date
09-05-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2261QR0401XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

 
3261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WINSTON ONYEANI

Authorized Official Title
OWNER
Authorized Official Phone
(404) 447-0127

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2302350
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
April 09, 2024
Certificate Expiration Date
April 08, 2026
Laboratory Director
ANTHONY FRANKLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grande Integrated Wellness Solutions Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982435566, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 8 + 3 + 1 + 0 + 5 + 1 + 2 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1982435566.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physician Assistant
5201 N 19TH AVE, SUITE 121
PHOENIX, AZ 85015
Physician Assistant
5201 N 19TH AVE, SUITE 121
PHOENIX, AZ 85015
Clinic/Center (Urgent Care)
5201 N 19TH AVE, SUITE 100
PHOENIX, AZ 85015
Nurse Practitioner (Family)
5201 N 19TH AVE
PHOENIX, AZ 85015
Physician Assistant
5201 N 19TH AVE, STE 121
PHOENIX, AZ 85015
Nurse Practitioner (Family)
5201 N 19TH AVE
PHOENIX, AZ 85015
Clinic/Center (Mental Health (Including Community Mental Health Center))
5201 N 19TH AVE
PHOENIX, AZ 85015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982435566, enumerated as an "organization" on August 13, 2024.

The provider is located at 5201 N 19TH AVE PHOENIX, AZ 85015 and the phone number is (404) 447-0127.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.