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GRAND CANYON STATE HEALTH CARE LLC
NPI 1801133483
Hospice Care, Community Based in Gilbert, AZ

Active since January 15, 2013
1067 S PORTLAND AVE, GILBERT, AZ 85296(602) 616-8933 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Canyon State Health Care Llc NPPES

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

GRAND CANYON STATE HEALTH CARE LLC (NPI 1801133483) is a healthcare organization registered as a hospice care, community based in Gilbert, Arizona and active in the NPI registry since January 2013. The organization lists Mark Adam Thiele, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1801133483
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameGRAND CANYON STATE HEALTH CARE LLC
Location Address1067 S PORTLAND AVEGilbert, AZ 85296-8924
Mailing Address1067 S Portland AveGilbert, AZ 85296-8924 · (602) 616-8933
Phone(602) 616-8933
Organization SubpartNo
Authorized OfficialMark Adam ThieleCeo/president · (602) 616-8933
Enumeration DateJanuary 15, 2013
✔ NPI 1801133483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1067 S PORTLAND AVE, Gilbert, AZ 85296
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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 State Health Care LLC's NPI number?

The NPI number for Grand Canyon State Health Care LLC is 1801133483. It was assigned to this organization in the NPPES registry on January 15, 2013.

Where is Grand Canyon State Health Care LLC located?

Grand Canyon State Health Care LLC is located at 1067 S Portland Ave, Gilbert, AZ 85296. The listed phone number is (602) 616-8933.

What is Grand Canyon State Health Care LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Grand Canyon State Health Care LLC was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.