Canyon Home II

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

960001001 Issued in CA

Legal business name

CANYON HOME II

Doing business as

Canyon Homes Inc

Practice address

8611 Wentworth
Sunland, CA 91040

Phone

(818) 353-1514

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard W Denogean, RN

Title

Ceo

Phone

(818) 353-8214

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Canyon Homes Inc Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G118

Legal name

CANYON HOME II

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jul 14, 1997

Last certification

Dec 3, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

8611 Wentworth Avenue
Sunland, CA 91040

Tax ID family

Canyon Home II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Canyon Home III

  • Mental Illness Intermediate Care Facility
  • Shadow Hills, CA
  • NPI 1669527941
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1013063841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 ARTRUDE ST",
            "city": "SHADOW HILLS",
            "state": "CA",
            "postal_code": "910401314",
            "telephone_number": "818-353-8214",
            "fax_number": "818-273-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 WENTWORTH",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "91040",
            "telephone_number": "818-353-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "DENOGEAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-353-8214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960001001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60809F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Homes Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carol Nahyma Castellon, BCBA
• Cataleya Hospice, Inc.

• Intellectual Disabilities Intermediate Care Facility in Sunland, CA
• Providers in Sunland, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.