Active NPI
Canyon View Recovery LLC
Doing business as Canyon View Recovery
- Multi-Specialty Clinic/Center
- Longmont, CO
National Provider Identifier
1184412124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CANYON VIEW RECOVERY LLC
- Doing business as
- Canyon View Recovery
- Practice address
- 1424 16TH Ave
Longmont, CO 80501-2561 - Phone
- (928) 710-2407
- NPI assigned
- Apr 29, 2025
- 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
- Angela J Waghorne-Schulz
- Title
- Consultant
- Phone
- (801) 473-3963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1424 16TH Ave
Longmont, CO 80501-2561
Mailing address
3883 57TH St
Boulder, CO 80301-3017
Phone (928) 710-2407
Other names 1
- Canyon View Recovery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745884800000",
"number": "1184412124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3883 57TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013017",
"telephone_number": "928-710-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 16TH AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012561",
"telephone_number": "928-710-2407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANYON VIEW RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-29",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "WAGHORNE-SCHULZ",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "801-473-3963"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Canyon View Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.