GRAND CANYON HOME CARE INC.
NPI: 1295213544
· MESA, AZ 85204
· Attendant Care Provider
· NPI assigned 07/30/2018
$504K
Total Medicaid Paid
Provider Details
| Authorized Official | YUSHUVAYEV, YAKOV (PRESIDENT) |
| Parent Organization | GRAND CANYON HOME CARE |
| NPI Enumeration Date | 07/30/2018 |
Related Entities
Other providers sharing the same authorized official: YUSHUVAYEV, YAKOV
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
797 |
$394K |
| 2020 |
266 |
$111K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
1,063 |
385 |
$504K |