Grand Canyon State Health Care Llc

LBN: Grand Canyon State Health Care Llc
Grand Canyon State Health Care Llc is an health care organization with primary practice located at 1067 S Portland Ave , Gilbert AZ 85296-8924. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Grand Canyon State Health Care Llc can be contacted via phone (602) 616-8933, or through Thiele, Mark Adam via phone (602) 616-8933.

Contact Information

Primary practice address
1067 S Portland Ave Gilbert AZ 85296-8924
Phone: (602) 616-8933
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thiele, Mark Adam
Phone: (602) 616-8933

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1801133483
LBN Legal business name Grand Canyon State Health Care Llc
DBA Doing business as
Authorized official Thiele, Mark Adam
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2013
Last updated Jan 15th, 2013 - about 11 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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