Citrus Canyon Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CITRUS CANYON CARE

Practice address

2056 E Piedmont PL
Casa Grande, AZ 85122-6812

Phone

(520) 635-5164

Fax

(520) 635-5164

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorcas Akoth Okendo

Title

Ceo

Phone

(520) 635-5164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1023862836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 E PIEDMONT PL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226812",
            "telephone_number": "520-635-5164",
            "fax_number": "520-635-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 E PIEDMONT PL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226812",
            "telephone_number": "520-635-5164",
            "fax_number": "520-635-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS CANYON CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "OKENDO",
        "authorized_official_first_name": "DORCAS",
        "authorized_official_middle_name": "AKOTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-635-5164"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Myunghun Choi, MD
• Shreya Paresh Chollera
• Andrew Chun
• Daniel Chung, M.D.
• Cimmaron Ash Behavioral Healthcare
• City of Casa Grande (Casa Grande Fire Department)
• Eleanor Ann Clark, M.D.
• Ginger K Clark, RPH
• Letoia Clark, PHARMD
• Poarche' Clark

• Assisted Living Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.