Grand Canyon Home Care Inc.

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

GRAND CANYON HOME CARE INC.

Practice address

13201 N 35TH Ave Ste 1B
Phoenix, AZ 85029-1231

Phone

(602) 795-0222

Fax

(602) 795-0080

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Yakov Yushuvayev

Title

President

Phone

(917) 864-3328

Specialties & licenses 1

Addresses

Tax ID family

Grand Canyon Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grand Canyon Home Care Inc.

  • Attendant Care Provider
  • Mesa, AZ
  • NPI 1295213544
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Grand Canyon Home Care Inc.

  • Attendant Care Provider
  • Mesa, AZ
  • NPI 1295213544
  NPPES parent name

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1972805679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 N 35TH AVE STE 1B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291231",
            "telephone_number": "602-795-0222",
            "fax_number": "602-795-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 N 35TH AVE STE 1B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291231",
            "telephone_number": "602-795-0222",
            "fax_number": "602-795-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CANYON HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "YUSHUVAYEV",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-864-3328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Canyon Acquisition Co LLC
• Grand Canyon Anesthesiology Consultants PLC
• Grand Canyon Behavior Health Services LLC
• Grand Canyon Dental, PLLC
• Grand Canyon Education, Inc.
• Grand Canyon Home Health Care, Inc.
• Grand Canyon Lab LLC
• Grand Canyon University
• Grand Canyon Wellness Center
• Grand Desert Home Health, LLC

• Attendant Care Provider in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Attendant Care Provider in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.