Provider Demographics
NPI:1386515013
Name:GRANDBROOK HOME CARE LLC
Entity type:Organization
Organization Name:GRANDBROOK HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:IONA
Authorized Official - Last Name:VALENTINE- HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-962-3891
Mailing Address - Street 1:13420 PURPLE FINCH CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-8230
Mailing Address - Country:US
Mailing Address - Phone:941-962-3891
Mailing Address - Fax:
Practice Address - Street 1:502 MAHOGANY DR
Practice Address - Street 2:
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-6026
Practice Address - Country:US
Practice Address - Phone:941-962-3891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty