Provider Demographics
NPI:1023812914
Name:GRELIN HEALTH, INC
Entity type:Organization
Organization Name:GRELIN HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENAKAN
Authorized Official - Middle Name:JERAMIAN
Authorized Official - Last Name:DEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-374-3940
Mailing Address - Street 1:6105 N WICKHAM RD UNIT 410253
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32941-7012
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6105 N WICKHAM RD UNIT 410253
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32941-7012
Practice Address - Country:US
Practice Address - Phone:929-374-3940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty