Grand Canyon Group Home Llc

LBN: Grand Canyon Group Home Llc
Grand Canyon Group Home Llc is an health care organization with primary practice located at 949 Grand Canyon Dr , Valrico FL 33594-4351. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Health Service, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / In Home Supportive Care is the primary health care specialty. Grand Canyon Group Home Llc can be contacted via phone (813) 530-0004, or through Simpson, Cassandra Virginia via phone (813) 810-6844.

Contact Information

Primary practice address
949 Grand Canyon Dr Valrico FL 33594-4351
Phone: (813) 530-0004
Fax: (813) 862-1072
Website:
Map and Directions
Authorized official contact:
Name: Simpson, Cassandra Virginia BSN, RN
Phone: (813) 810-6844

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1477278232
LBN Legal business name Grand Canyon Group Home Llc
DBA Doing business as
Authorized official Simpson, Cassandra Virginia BSN, RN
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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