Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Canyon Group Home LLC

Organization Home Health Agency · NPI 1477278232

Grand Canyon Group Home LLC is a Home Health Agency in Valrico, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

949 Grand Canyon Dr
Valrico, FL 33594-4351
Phone: (813) 530-0004
Fax: (813) 862-1072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Home Health Agency Taxonomy 251E00000X
Nursing Care Agency Taxonomy 251J00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Health Service Clinic/Center Taxonomy 261QH0100X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X

Record details

NPI number1477278232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Simpson — Director · (813) 810-6844
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing addressPo Box 963, Valrico, FL 33595-0963

Other providers in Valrico