Organization · Type 2 NPI

Grand Canyon Group Home LLC

In Home Supportive Care Agency · Valrico, FL

NPI number 1477278232 Active

Practice location

949 Grand Canyon Dr
Valrico, FL 33594-4351

Call (813) 530-0004 Map

Fax (813) 862-1072

Mailing address

PO Box 963
Valrico, FL 33595-0963

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Nursing Care Agency	251J00000X	None listed
In Home Supportive Care Agency Primary	253Z00000X	None listed
Developmental Disabilities Clinic/Center	261QD1600X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1477278232

Grand Canyon Group Home LLC's National Provider Identifier is 1477278232, issued on Oct 4, 2022. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Valrico, FL. The record was last updated on Oct 4, 2022.