# GRAND HOME CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457859266
- **Authorized official:** DENIS IZYAGUYEV (OWNER/PRESIDENT)
- **Authorized official phone:** (212) 710-5555

## Contact information

- **Practice address:** 102 ALAN LOOP, STATEN ISLAND, NY 10304-4460
- **Practice address phone:** (212) 710-5555
- **Mailing address:** 102 ALAN LOOP, STATEN ISLAND, NY 10304-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2018
- **Last updated:** 03/05/2025