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GRAND CANYON HOME CARE - MESA
NPI 1295213544
Technician - Attendant Care Provider in Mesa, AZ

Active since July 30, 2018
420 E SOUTHERN AVE STE 110A, MESA, AZ 85204(480) 397-6010 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Canyon Home Care - Mesa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND CANYON HOME CARE - MESA (NPI 1295213544) is a healthcare organization registered as an attendant care provider in Mesa, Arizona and active in the NPI registry since July 2018. The organization lists Yakov Yushuvayev, President, as its authorized official.

NPPES Registry Identity

NPI1295213544
Entity TypeOrganization
Primary Taxonomy3747A0650X
Legal Business NameGRAND CANYON HOME CARE INC.
Location Address420 E SOUTHERN AVE STE 110AMesa, AZ 85204-4945
Mailing Address13201 N 35th Ave Ste 4bPhoenix, AZ 85029-1231 · (602) 795-0222
Phone(480) 397-6010
Organization SubpartYesParent: Grand Canyon Home Care
Authorized OfficialYakov YushuvayevPresident · (907) 222-7666
Enumeration DateJuly 30, 2018
✔ NPI 1295213544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
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.
420 E SOUTHERN AVE STE 110A, Mesa, AZ 85204
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Other Names 1

Doing Business AsGrand Canyon Home Care - Mesa

Other Identifiers 1

Medicaid568006AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YAKOV YUSHUVAYEV
Technician (Attendant Care Provider)
420 E SOUTHERN AVE STE 110A
MESA, AZ 85204
Maricopa County (480) 397-9610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Canyon Home Care Inc.'s NPI number?

The NPI number for Grand Canyon Home Care Inc. is 1295213544. It was assigned to this organization in the NPPES registry on July 30, 2018. The provider is doing business as Grand Canyon Home Care - Mesa.

Where is Grand Canyon Home Care Inc. located?

Grand Canyon Home Care Inc. is located at 420 E Southern Ave Ste 110A, Mesa, AZ 85204. The listed phone number is (480) 397-6010.

What is Grand Canyon Home Care Inc.'s specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Grand Canyon Home Care Inc. was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.