GRAND CANYON GROUP HOME LLC
NPI 1750254850
Residential Treatment Facility, Emotionally Disturbed Children in Seffner, FL

Q: What is Grand Canyon Group Home LLC's NPI number?

The NPI number for Grand Canyon Group Home LLC is 1750254850. It was assigned to this organization in the NPPES registry on September 25, 2025.

Q: What is Grand Canyon Group Home LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since September 25, 2025

5208 CHERRY AVE, SEFFNER, FL 33584(813) 810-6844(813) 862-1072 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Grand Canyon Group Home Llc NPPES

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

GRAND CANYON GROUP HOME LLC (NPI 1750254850) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Seffner, Florida and active in the NPI registry since September 2025. The organization lists Cassandra Virginia Simpson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750254850

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameGRAND CANYON GROUP HOME LLC

Location Address5208 CHERRY AVESeffner, FL 33584-4406

Mailing AddressPo Box 963Valrico, FL 33595-0963 · (813) 810-6844 · Fax (813) 862-1072

Phone(813) 810-6844

Fax(813) 862-1072

Organization SubpartYes

Authorized OfficialCassandra Virginia SimpsonExecutive Director · (813) 810-6844

Enumeration DateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1750254850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

5208 CHERRY AVE, Seffner, FL 33584

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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 Group Home LLC's NPI number?

The NPI number for Grand Canyon Group Home LLC is 1750254850. It was assigned to this organization in the NPPES registry on September 25, 2025.

Where is Grand Canyon Group Home LLC located?

Grand Canyon Group Home LLC is located at 5208 Cherry Ave, Seffner, FL 33584. The listed phone number is (813) 810-6844.

What is Grand Canyon Group Home LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Grand Canyon Group Home LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.