Canyon Idaho Home Care & Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CANYON IDAHO HOME CARE & HOSPICE, LLC

Doing business as

Canyon Home Care & Hospice

Practice address

1705 Main St
Ste. 101
Baker City, OR 97814-3453

Phone

(541) 523-4385

Fax

(541) 523-4406

NPI assigned

Dec 13, 2016

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth E Norris

Title

Managing Partner

Phone

(801) 485-6166

Specialties & licenses 1

Addresses

Other names 1

• Canyon Home Care & Hospice Doing business as

Tax ID family

Canyon Idaho Home Care Hospice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Canyon Idaho Home Care & Hospice, LLC

  dba Canyon Home Care & Hospice

  • Community Based Hospice Care Agency
  • Fruitland, ID
  • NPI 1386188191
  NPD tax ID

Locations

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1265976070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022981",
            "telephone_number": "801-485-6166",
            "fax_number": "801-531-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MAIN ST",
            "address_2": "STE. 101",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143453",
            "telephone_number": "541-523-4385",
            "fax_number": "541-523-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON IDAHO HOME CARE & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-485-6166"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle L Budd, R.PH.
• Luke M Burton, MSW
• Raeann J Butler
• Mary-Katherine Campos, QMHP
• Nicolette Cannon
• Samuel William Capra Jr., MD
• Care at Home, Inc (Canyon Home Care & Hospice)
• Care at Home, Inc.
• Brenda Lucille Carnahan, LPC
• Melody Rose Carroll, PHARMD

• Community Based Hospice Care Agency in Baker City, OR
• Providers in Baker City, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.