Organization Active NPI

Canyon Steps, LLC

  • Case Management Agency
  • Swan Valley, ID
National Provider Identifier
1114534112
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CANYON STEPS, LLC
Practice address
3325 US Hwy 26
Swan Valley, ID 83449
Phone
(208) 358-2982
Fax
(208) 483-2174
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Donna Mae Mathews, MBA, MS
Title
Owner, Qidp
Phone
(208) 358-2982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3325 US Hwy 26
Swan Valley, ID 83449

Mailing address

PO Box 143
Swan Valley, ID 83449-0143
Phone (208) 358-2982

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1114534112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "SWAN VALLEY",
            "state": "ID",
            "postal_code": "834490143",
            "telephone_number": "208-358-2982",
            "fax_number": "208-483-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 US HWY 26",
            "city": "SWAN VALLEY",
            "state": "ID",
            "postal_code": "83449",
            "telephone_number": "208-358-2982",
            "fax_number": "208-483-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON STEPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER, QIDP",
        "authorized_official_telephone_number": "208-358-2982",
        "authorized_official_credential": "MBA, MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swan Valley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.