Active NPI
Canyon Care Transportation LLC.
- Non-emergency Medical Transport (VAN)
- Phoenix, AZ
National Provider Identifier
1124936984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.