GRAND CANYON HOME CARE INC. is an attendant care provider technician in Mesa, AZ. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. GRAND CANYON HOME CARE INC. NPI is 1295213544. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grand Canyon Home Care - Mesa.
The provider's business location address is:
420 E SOUTHERN AVE STE 110A
MESA, AZ
ZIP 85204-945
Phone: (480) 397-6010
The provider's authorized official is Yakov Yushuvayev .
The authorized official title is President and has the following contact phone number (907) 222-7666.
The CLIA number assigned to this NPI record is 03D2114999 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/30/2018 and was last updated on 7/30/2018.