GRAND CANYON HOME CARE - MESA
NPI 1295213544
Technician - Attendant Care Provider in Mesa, AZ
- Organization
- Technician
- Attendant Care Provider
- CLIA Number: 03D2114999
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 06-23-2026
About GRAND CANYON HOME CARE - MESA
This page provides the complete NPI Profile along with additional information for Grand Canyon Home Care - Mesa, a provider established in Mesa, Arizona operating as a Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1295213544 assigned on July 2018. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Grand Canyon Home Care - Mesa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Grand Canyon Home Care - Mesa. The authorized official of this NPI record is Yakov Yushuvayev (President)
- NPI
- 1295213544 Verify this NPI
- Provider Legal Name
- GRAND CANYON HOME CARE INC.
- Other Organization Name
- GRAND CANYON HOME CARE - MESA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 420 E SOUTHERN AVE STE 110A MESA, AZ 85204
- Location Phone
- (480) 397-6010
- Mailing Address
- 13201 N 35TH AVE STE 4B PHOENIX, AZ 85029
- Mailing Phone
- (602) 795-0222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-30-2018
- Last Update Date
- 07-30-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician Attendant Care Provider
- Taxonomy Code
- 3747A0650X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 568006 | MEDICAID (05) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2114999
- Facility Type
- Home Health Agency
- Certificate Effective Date
- June 24, 2024
- Certificate Expiration Date
- June 23, 2026
- Laboratory Director
- LINDA ABRAMOV
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Grand Canyon Home Care - Mesa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295213544, enumerated as an "organization" on July 30, 2018.
The provider is located at 420 E SOUTHERN AVE STE 110A MESA, AZ 85204 and the phone number is (480) 397-6010.
Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
