Grand Canyon Group Home LLC
Grand Canyon Group Home LLC is a Case Management Agency in Seffner, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 9
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5208 Cherry AveSeffner, FL 33584-4406
Phone: (813) 810-6844
Fax: (813) 862-1072
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
| Home Health Agency | Taxonomy 251E00000X |
| Nursing Care Agency | Taxonomy 251J00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1750254850 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Grand Canyon Group Home LLC |
| Authorized official | Cassandra Simpson — Executive Director · (813) 810-6844 |
| NPI enumerated | September 25, 2025 |
| Last updated in NPPES | September 25, 2025 |
| Certification date | September 25, 2025 |
| Mailing address | Po Box 963, Valrico, FL 33595-0963 |
Other providers in Seffner
-
Dwanda Renee Palmore
115 Montara Dr, Seffner, FL 33584-5019 · (813) 540-1091