GRANDPARENTS OF AMERICA INC

Provider Demographics

• NPI: 1508522574
• Name: GRANDPARENTS OF AMERICA INC
• Entity Type: Organization
• Organization Name: GRANDPARENTS OF AMERICA INC
• Other - Org Name: AVION HEALTHCARE
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: PRESIDENT/CEO
• Authorized Official - First Name: JAMES
• Authorized Official - Middle Name: JOSEPH
• Authorized Official - Last Name: ROSE
• Authorized Official - Credentials: CFLE
• Authorized Official - Phone: 520-204-7958
• Mailing Address - Street 1: 9375 E SHEA BLVD STE 100
• Mailing Address - City: SCOTTSDALE
• Mailing Address - State: AZ
• Mailing Address - Zip Code: 85260-6986
• Mailing Address - Country: US
• Mailing Address - Phone: 520-704-8310
• Mailing Address - Fax: 520-848-3611
• Practice Address - Street 1: 9375 E SHEA BLVD STE 100
• Practice Address - City: SCOTTSDALE
• Practice Address - State: AZ
• Practice Address - Zip Code: 85260-6986
• Practice Address - Country: US
• Practice Address - Phone: 520-704-8310
• Practice Address - Fax: 520-848-3611
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2021-11-13
• Last Update Date: 2022-09-06

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	385H00000X	Respite Care Facility	Respite Care
No	251300000X	Agencies	Local Education Agency (LEA)
No	251B00000X	Agencies	Case Management
No	251E00000X	Agencies	Home Health
No	251S00000X	Agencies	Community/Behavioral Health
No	251V00000X	Agencies	Voluntary or Charitable
No	261QC1500X	Ambulatory Health Care Facilities	Clinic/Center	Community Health
No	261QD1600X	Ambulatory Health Care Facilities	Clinic/Center	Developmental Disabilities
No	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center	Adult Mental Health
No	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center	Adolescent and Children Mental Health
No	261QP2000X	Ambulatory Health Care Facilities	Clinic/Center	Physical Therapy
No	261QR0405X	Ambulatory Health Care Facilities	Clinic/Center	Rehabilitation, Substance Use Disorder
No	261QS1000X	Ambulatory Health Care Facilities	Clinic/Center	Student Health
No	282J00000X	Hospitals	Religious Nonmedical Health Care Institution
No	332U00000X	Suppliers	Home Delivered Meals

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AZ	096451	Medicaid
AZ	107487	Medicaid
	HHA-00001	Other	BANNER UFC
AZ	095189	Medicaid