Healthcare Provider Details

I. General information

NPI: 1386515013
Provider Name (Legal Business Name): GRANDBROOK HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 MAHOGANY DR
SEFFNER FL
33584-6026
US

IV. Provider business mailing address

13420 PURPLE FINCH CIR
LAKEWOOD RANCH FL
34202-8230
US

V. Phone/Fax

Practice location:
  • Phone: 941-962-3891
  • Fax:
Mailing address:
  • Phone: 941-962-3891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA IONA VALENTINE- HENRY
Title or Position: OWNER
Credential:
Phone: 941-962-3891