Organization Active NPI

Grand Canyon Home Health Care, Inc.

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1851792808
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRAND CANYON HOME HEALTH CARE, INC.
Practice address
2432 W Peoria Ave
Ste 1073B
Phoenix, AZ 85029-4730
Phone
(602) 441-2722
Fax
(602) 441-5022
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Linda Abramov, DIRECTOR
Title
Director of Operations
Phone
(602) 441-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2432 W Peoria Ave
Ste 1073B
Phoenix, AZ 85029-4730

Mailing address

2432 W Peoria Ave Ste 1073B
Phoenix, AZ 85029-4730
Phone (602) 441-2722

Other identifiers 1

IdentifierTypeStateIssuer
351219MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@gchomehealth.com Other
CONNECT URL www.gchomehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160309001359 AZ Part A Provider - Home Health Agency 0941506422 Practice locations: Phoenix, AZ
O20240328002376 AZ Part B Supplier - Home Infusion Therapy Supplier 0941506422 Practice locations: Phoenix, AZ

Home health agency certification: CCN 037469

Legal name
GRAND CANYON HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 17, 2017
Last certification
May 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 30, 2014 in AZ
Enrollment address
2320 W Peoria Ave
Ste C122B
Phoenix, AZ 85029

Care Compare: Home health agency

Medicare Care Compare
Listed as
Grand Canyon Home Health Care, Inc.CCN 037469
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 17, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

13201 N 35th Ave
Ste 16B
Phoenix, AZ 85029
Phone (602) 441-2722

2320 W Peoria Ave
#C122B
Phoenix, AZ 85029

2432 W Peoria Ave
Ste 1073
Phoenix, AZ 85029
Phone (347) 458-8086

2320 W Peoria Ave
Ste C122B
Phoenix, AZ 85029
Phone (602) 441-2722

2320 W Peoria Ave
Ste C122
Phoenix, AZ 85029
Phone (323) 925-8988

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yakov Yushuvayev Individual 5% Or Greater Direct Ownership Interest Aug 27, 2025 33.4%
Corporate Officer Aug 27, 2025 33.4%
Corporate DirectorPresident/Owner Aug 27, 2025 33.4%
W-2 Managing Employee Aug 27, 2025
Roweliza Hoy Individual 5% Or Greater Direct Ownership Interest Aug 27, 2025 33.3%
W-2 Managing EmployeeAd; Aug 27, 2025 33.3%
Linda L Abramov Individual 5% Or Greater Direct Ownership Interest Aug 27, 2025 33.3%
Corporate DirectorDirector of Operations Aug 27, 2025
Operational/Managerial ControlOperation Manager Aug 27, 2025 33.3%

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1851792808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE STE 1073B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294730",
            "telephone_number": "602-441-2722",
            "fax_number": "602-441-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE",
            "address_2": "STE 1073B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294730",
            "telephone_number": "602-441-2722",
            "fax_number": "602-441-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CANYON HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "ABRAMOV",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-441-2722",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351219",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gchomehealth.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business communication",
            "address_1": "2432 W Peoria Ave Ste 1073",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850294730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gchomehealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2432 W Peoria Ave Ste 1073",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850294730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.