CANYON IDAHO HOME CARE & HOSPICE, LLC (NPI# 1265976070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265976070 |
| Entity Type | Organization |
| Organization Name | CANYON IDAHO HOME CARE & HOSPICE, LLC |
| Other Organization Name | CANYON HOME CARE & HOSPICE |
| Practice Address |
1705 Main St Ste. 101 Baker City OR 97814-3453 |
| Mailing Address |
450 S 900 E Salt Lake City UT 84102-2981 |
| Practice Telephone | 5415234385 |
| Practice Fax Number | 5415234406 |
| Mailing Telephone | 8014856166 |
| Mailing Fax Number | 8015311949 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | KENNETH E NORRIS (MANAGING PARTNER) |
| Authorized Official Telephone | 8017122088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Canyon Home Care & Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386188191 | Canyon Idaho Home Care & Hospice, LLC | Hospice Care, Community Based | 929 Nw 16th St, Fruitland, ID 83619-2256 | 2016-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CANYON IDAHO HOME CARE & HOSPICE, LLC | 929 Nw 16th St, Fruitland, ID 83619 |
| Street Address |
1705 MAIN ST STE. 101 |
| City | BAKER CITY |
| State | OR |
| Zip Code | 97814-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760416010 | Kenneth Curtis Dudley | Psychologist | 1705 Main St, Suite 501, Baker City, OR 97814-3453 | 2006-07-11 |
| 1053677757 | Care At Home, Inc. | Home Health | 1705 Main St, #101, Baker City, OR 97814-3453 | 2012-04-06 |
| 1679849087 | Care At Home, Inc | Home Health | 1705 Main St, Ste. 101, Baker City, OR 97814-3453 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279871 | Charles Henry Campos | Counselor | 2021 Court Street, Baker City, OR 97814 | 2019-05-07 |
| 1831546217 | Veronica Crowder | Physician Assistant | Samg Orthopedics Baker City, 3325 Pocahontas Rd, Baker City, OR 97814 | 2016-05-16 |
| 1013389956 | Dara Michelle Fields | Counselor | 2200 4th Street, Baker City, OR 97814 | 2015-10-29 |
| 1003223694 | Colleen Davenport | Nurse Practitioner | 3975 N Midway Dr, Baker City, OR 97814 | 2014-07-16 |
| 1629418363 | Sherry Melena Zacharias Forsyth | Counselor | 2100 Main St., New Directions, Baker City, OR 97814 | 2013-06-26 |
| 1609215573 | Logan Clay Frederickson | Family Medicine | 3820 17th Street, Baker City, OR 97814 | 2013-06-24 |
| 1790124485 | James Lee Morris | Counselor | 3610 Midway, Baker City, OR 97814 | 2013-06-17 |
| 1881955656 | New Directions Northwest, Inc | Substance Abuse Rehabilitation Facility | 3610 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1659671113 | Al H Brickman | Pharmacist | 1205 Campbell St., Baker City, OR 97814 | 2010-10-29 |
| Find all providers in zip 97814 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326197666 | Guardian Home Care, Inc. | Hospice Care, Community Based | 2021 Court Ave, Baker City, OR 97814-3417 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463274 | Signature Hospice Oregon Coast, LLC | Hospice Care, Community Based | 820 Se Highway 101 Ste F, Lincoln City, OR 97367-2773 | 2020-10-06 |
| 1043817000 | Signature Hospice Eugene, LLC | Hospice Care, Community Based | 2620 River Rd Ste 300, Eugene, OR 97404-2046 | 2020-10-02 |
| 1831709567 | Graciouscare Hospice, LLC | Hospice Care, Community Based | 16500 Sw Satterberg Rd, Beaverton, OR 97007-6584 | 2020-08-07 |
| 1821607490 | Brighton Hospice Eugene, LLC | Hospice Care, Community Based | 1600 Valley River Dr Ste 220, Eugene, OR 97401-2160 | 2020-07-29 |
| 1851911648 | Signature Hospice Bend, LLC | Hospice Care, Community Based | 454 Ne Revere Ave, Bend, OR 97701-4019 | 2020-04-21 |
| 1902453681 | Sojourn Hospice and Palliative Care-portland, LLC | Hospice Care, Community Based | 16083 Sw Upper Boones Ferry Rd Ste 100, Portland, OR 97224-7736 | 2019-08-19 |
| 1649826702 | Tenderly Hospice, LLC | Hospice Care, Community Based | 9500 Sw Barbur Blvd Ste 260, Portland, OR 97219-5466 | 2019-08-14 |
| 1033687371 | Brookdale Hospice, LLC | Hospice Care, Community Based | 29757 Sw Boones Ferry Rd Ste B, Wilsonville, OR 97070-7202 | 2018-11-05 |
| 1922592427 | Excel Hospice and Palliative Care LLC | Hospice Care, Community Based | 10742 Se Highway 212, Clackamas, OR 97015-9144 | 2018-06-18 |
| 1801313200 | Serenity Palliative Care and Hospice, LLC | Hospice Care, Community Based | 1020 Green Acres Rd Ste 12, Eugene, OR 97408-1715 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | BAKER CITY |
| Zip Code | 97814 |
Please comment or provide details below to improve the information on CANYON IDAHO HOME CARE & HOSPICE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.