Juniper Canyon Living LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

JUNIPER CANYON LIVING LLC

Doing business as

Juniper Canyon Living

Practice address

2855 NW 7TH St.
Redmond, OR 97756

Phone

(541) 668-8500

Fax

(541) 668-8510

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Robert Austin Evans

Title

Manager of Manager

Phone

(541) 317-9188

Specialties & licenses 1

Addresses

Other names 1

• Juniper Canyon Living Doing business as

Locations

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1033871504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977091410",
            "telephone_number": "541-317-9188",
            "fax_number": "541-389-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 NW 7TH ST.",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-668-8500",
            "fax_number": "541-668-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER CANYON LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "MANAGER OF MANAGER",
        "authorized_official_telephone_number": "541-317-9188"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Canyon Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua M. Van Der Bunt, DMD, LLC
• Mary Esther Joyce, LPC, CADC I
• Raegan Elizabeth Joyce, M.S.
• JRM LLC (Synergy HomeCare of Redmond)
• Apryl Jump
• Amanda Juza-Hamrick, LCSW
• K & L Oms LLC
• Vicki Kahn, LAC, LPTA
• Juanita Faye Kalama Santiago
• Libby Ann Kalkoske, L.M.T.

• Assisted Living Facility (Behavioral Disturbances) in Redmond, OR
• Providers in Redmond, OR by specialty
• Assisted Living Facility (Behavioral Disturbances) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.