GRAND CANYON GROUP HOME LLC – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1750254850

GRAND CANYON GROUP HOME LLC is a healthcare provider. based in Valrico, Florida. specializing in Emotionally Disturbed Childrens' Residential Treatment Facility. The NPI Number for GRAND CANYON GROUP HOME LLC is 1750254850

Main info

Organization
Name
GRAND CANYON GROUP HOME LLC
NPI
1750254850
Phone
(813) 810-6844
Address
PO BOX 963
Authorized Official
CASSANDRA VIRGINIA SIMPSON EXECUTIVE DIRECTOR RN
Enumeration Date
25 September 2025
Last Update Date
25 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for GRAND CANYON GROUP HOME LLC

  • PO BOX 963

    VALRICO, FL 335950963

    Phone: (813) 810-6844

    Fax: (813) 862-1072

    Type: Mailing

  • 5208 CHERRY AVE

    SEFFNER, FL 335844406

    Phone: (813) 810-6844

    Fax: (813) 862-1072

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33595)

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Reviews

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Frequently asked questions

Can I use this page to confirm GRAND CANYON GROUP HOME LLC's NPI?
Yes. GRAND CANYON GROUP HOME LLC is listed with NPI 1750254850 in the public NPI dataset.
Does CMS list GRAND CANYON GROUP HOME LLC as active?
Yes — GRAND CANYON GROUP HOME LLC is active in the NPI listing used on this page.
What healthcare role does GRAND CANYON GROUP HOME LLC hold?
Scheduling teams often label GRAND CANYON GROUP HOME LLC under Emotionally Disturbed Childrens' Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Where is GRAND CANYON GROUP HOME LLC based?
GRAND CANYON GROUP HOME LLC is tied to Valrico, Florida in the data we show; additional addresses may exist on the full record.
Why does GRAND CANYON GROUP HOME LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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