Canyon Springs Senior Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC1091 Issued in ID

Legal business name

CANYON SPRINGS SENIOR LIVING, INC.

Practice address

622 Filer Ave W
Twin Falls, ID 83301-4533

Phone

(208) 733-9064

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Soon Burnam

Title

Treasurer

Phone

(949) 487-9500

Specialties & licenses 1

Addresses

Other names 1

• Heritage Assisted Living of Twin Falls Doing business as

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1285015149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 FILER AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014533",
            "telephone_number": "208-733-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 FILER AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014533",
            "telephone_number": "208-733-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON SPRINGS SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-487-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC1091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Assisted Living of Twin Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathy White Canty, M.D.
• Canyon Foot & Ankle Specialists PC
• Canyon Hand Therapy Inc.
• Canyon Primary Care LLC
• Canyon Springs Chiropractic Wellness Center PLLC
• Canyons Retirement LLC
• Jacqueline Cardinet, LMSW
• Valeria Cardona Lopez, CSFA
• Care Compassion Communication LLC
• Care Planning Institute, Inc

• All providers in Twin Falls, ID
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.