Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Grand Canyon Group Home LLC

Q: What type of organization is Grand Canyon Group Home LLC?

Grand Canyon Group Home LLC is registered in NPPES as a Emotionally Disturbed Childrens' Residential Treatment Facility (its primary provider taxonomy).

Emotionally Disturbed Childrens' Residential Treatment Facility in Seffner, FL · enumerated 2025 · authorized official Cassandra Simpson, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750254850

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Grand Canyon Group Home LLC

Parent organization Grand Canyon Group Home LLC

Practice address 5208 Cherry Ave, Seffner, FL, 33584

Phone (813) 810-6844

Fax (813) 862-1072

Enumeration date Sep 25, 2025

Last updated in NPPES Sep 25, 2025

Taxonomy & classification

251B00000X Case Management Agency Agencies Secondary

251E00000X Home Health Agency Agencies Secondary

251J00000X Nursing Care Agency Agencies Secondary

251S00000X Community/Behavioral Health Agency Agencies Secondary

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Secondary

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary

320700000X Physical Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Cassandra Simpson

Title Executive Director

Phone (813) 810-6844

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Grand Canyon Group Home LLC?

Grand Canyon Group Home LLC is registered in NPPES as a Emotionally Disturbed Childrens' Residential Treatment Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-25.