Organization
GRAND HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS IZYAGUYEV (OWNER/PRESIDENT)
(212) 710-5555
Entity
Organization
Contact information
Practice address
102 ALAN LOOP, STATEN ISLAND, NY 10304-4460
(212) 710-5555
Mailing address
102 ALAN LOOP, STATEN ISLAND, NY 10304-4460
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
03/05/2025
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