Grand Services and More LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRAND SERVICES AND MORE LLC

Practice address

1717 W Northern Ave Ste 211
Phoenix, AZ 85021-5469

Phone

(602) 684-0660

NPI assigned

May 6, 2022

Last updated

May 6, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ibrahim Fofanah

Title

Owner

Phone

(480) 249-2655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maseray Fofanah, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1215638465
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1336885912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 N 19TH AVE APT 2071",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215276",
            "telephone_number": "602-684-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215469",
            "telephone_number": "602-684-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND SERVICES AND MORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "FOFANAH",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-249-2655"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Canyon Home Health Care, Inc.
• Grand Canyon Lab LLC
• Grand Canyon University
• Grand Canyon Wellness Center
• Grand Desert Home Health, LLC
• Grand Therapy LTD
• Grande Integrated Wellness Solutions LLC
• Grande Integrated Wellness Solutions LLC
• Grandizer LLC (Foot Solutions Phoenix)
• Cheryl Grandone, MD

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.