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Grand Canyon Group Home Llc
Child Intellectual and/or Developmental Disabilities Respite Care in Valrico, Florida
NPI 1477278232

Grand Canyon Group Home Llc is a Child Intellectual and/or Developmental Disabilities Respite Care based in Valrico, FL and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Grand Canyon Group Home Llc practices in Valrico, FL. The NPI Number for Grand Canyon Group Home Llc is 1477278232 and holds a License No. (Florida).

The current practice location address for Grand Canyon Group Home Llc is 949 Grand Canyon Dr, Valrico, FL and can be reached out via phone at 813-530-0004 and via fax at 813-862-1072.

Location: 949 Grand Canyon Dr, Valrico, FL, 33595-0963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477278232
Provider Name
Grand Canyon Group Home Llc
Credential
Provider Entity Type
Organization
Address
949 Grand Canyon Dr, Valrico, FL, 33595-0963
Phone Number
813-530-0004
Fax Number
813-862-1072
Provider Enumeration Date
10/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
949 Grand Canyon Dr
City
Valrico
State
Florida
Zip
33594-4351
Phone Number
813-530-0004
Fax Number
813-862-1072
person
Provider Business Mailing Address Details
Address
949 Grand Canyon Dr
City
Valrico
State
Florida
Zip
33594-4351
Phone Number
813-530-0004
Fax Number
813-862-1072
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
()
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
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 medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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