NPI Index

GRAND CANYON GROUP HOME LLC

Residential Treatment Facility, Emotionally Disturbed Children

Active Organization
NPI: 1750254850

Practice Address

5208 CHERRY AVE
Seffner, FL 33584

Phone: (813) 810-6844

Specialties

Specialty Code Primary License
Case Management 251B00000X No -
Home Health 251E00000X No -
Nursing Care 251J00000X No -
Community/Behavioral Health 251S00000X No -
Nursing Facility/Intermediate Care Facility 313M00000X No -
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
Residential Treatment Facility, Physical Disabilities 320700000X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X No -
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1750254850 is the National Provider Identifier for GRAND CANYON GROUP HOME LLC, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Seffner, FL. This NPI was enumerated on September 25, 2025.

Quick Facts

NPI
1750254850
Type
Organization
Enumerated
Sep 25, 2025
Last Updated
Sep 25, 2025

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