Organization Active NPI

Canyon View Recovery LLC

Doing business as Canyon View Recovery

  • Multi-Specialty Clinic/Center
  • Longmont, CO
National Provider Identifier
1184412124
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Apr 29, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.