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NPI 1386515013

NPI 1386515013 : GRANDBROOK HOME CARE LLC : SEFFNER, FL

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General NPI Number Information
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    NPI Number           |    1386515013
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRANDBROOK HOME CARE LLC 
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Dates
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    Enumeration Date     |    09/16/2025
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    502 MAHOGANY DR 
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    City                 |    SEFFNER
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    State                |    FL
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    Zip                  |    33584-6026
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    Country              |    US
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    Telephone            |    941-962-3891
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13420 PURPLE FINCH CIR 
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    City                 |    LAKEWOOD RANCH
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    State                |    FL
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    Zip                  |    34202-8230
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    Country              |    US
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    Telephone            |    941-962-3891
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CLAUDIA IONA VALENTINE- HENRY 
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    Credential           |    
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    Telephone            |    941-962-3891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QD1600X
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    Taxonomy Name        |    Developmental Disabilities Clinic/Center
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    License Number       |    
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    License Number State |    
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