Organization Active NPI

Canyon Care Transportation LLC.

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
National Provider Identifier
1124936984
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CANYON CARE TRANSPORTATION LLC.
Practice address
1201 E Michigan Ave
Phoenix, AZ 85022-1223
Phone
(615) 738-1397
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Tiba Imad Lateef
Title
Owner
Phone
(615) 738-1397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1201 E Michigan Ave
Phoenix, AZ 85022-1223

Mailing address

1201 E Michigan Ave
Phoenix, AZ 85022-1223
Phone (615) 738-1397

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1124936984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221223",
            "telephone_number": "615-738-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221223",
            "telephone_number": "615-738-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CARE TRANSPORTATION LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "LATEEF",
        "authorized_official_first_name": "TIBA",
        "authorized_official_middle_name": "IMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-738-1397"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.