GRAND CANYON STATE HEALTH CARE LLC (NPI# 1801133483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801133483 |
| Entity Type | Organization |
| Organization Name | GRAND CANYON STATE HEALTH CARE LLC |
| Practice Address |
1067 S Portland Ave Gilbert AZ 85296-8924 |
| Practice Telephone | 6026168933 |
| Mailing Telephone | 6026168933 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | MARK ADAM THIELE (CEO/PRESIDENT) |
| Authorized Official Telephone | 6026168933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
1067 S PORTLAND AVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-8924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679101646 | Always Present Hospice LLC | Hospice Care, Community Based | 1400 N Gilbert Rd Ste P, Gilbert, AZ 85234-2482 | 2020-03-27 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1801245048 | Advisacare Hospice LLC | Hospice Care, Community Based | 1757 E Baseline Rd Ste 106, Gilbert, AZ 85233-1533 | 2016-06-08 |
| 1619368602 | Traditions Hospice of Arizona I, LLC | Hospice Care, Community Based | 105 North Pasadena Street, Gilbert, AZ 85233 | 2015-02-11 |
| 1912329533 | Amha Hospice LLC | Hospice Care, Community Based | 3530 S Val Vista Dr Ste B210, Gilbert, AZ 85297 | 2014-01-16 |
| 1366460289 | Hospice of The Valley | Hospice Care, Community Based | 2020 E Woodside Ct, Gilbert, AZ 85297-7339 | 2006-07-18 |
| 1073550547 | Banner Home Care Arizona | Hospice Care, Community Based | 275 E Germann Rd Ste 110n, Gilbert, AZ 85297-2916 | 2006-06-01 |
| 1518943919 | Hospice Family Care, Inc. | Hospice Care, Community Based | 201 W Guadalupe Rd Ste 308, Gilbert, AZ 85233-3334 | 2005-12-16 |
| 1043834021 | American Care Concepts Gip LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2020-06-04 |
| 1023662665 | Prism Hospice, LLC | Hospice Care, Community Based | 4280 E Sierra Madre Ave, Gilbert, AZ 85296 | 2019-08-01 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.