Provider Demographics
NPI:1992504252
Name:GRANDI ENSEMBLE
Entity type:Organization
Organization Name:GRANDI ENSEMBLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVENTURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-541-5711
Mailing Address - Street 1:1182 E 35TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4231
Mailing Address - Country:US
Mailing Address - Phone:929-541-5711
Mailing Address - Fax:
Practice Address - Street 1:2123 CATON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-8393
Practice Address - Country:US
Practice Address - Phone:929-541-5711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No174200000XOther Service ProvidersMeals
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage
No252Y00000XAgenciesEarly Intervention Provider Agency