Canyon Crest Assisted Living & Memory Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CANYON CREST ASSISTED LIVING & MEMORY CARE

Practice address

8151 E Speedway Blvd
Tucson, AZ 85710-3323

Phone

(520) 722-8400

NPI assigned

Apr 22, 2007

Organization subpart

No

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

Authorized official

Name

Jon Harder

Title

Manager

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

Other names 1

• Canyon Crest Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295953891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 FAIRVIEW INDUSTRIAL DR SE",
            "address_2": "SUITE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021177",
            "telephone_number": "503-485-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103323",
            "telephone_number": "520-722-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CREST ASSISTED LIVING & MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-485-4600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Belen Canto
• Carlos Luis Cantu, M.D.
• Kristina Cantu
• Laura Cantu, MD
• Canyon Behavioral Health LLC Dba Montare Behavioral Health
• Canyon Dental Group, PLLC
• Canyon Heallth LLC
• Canyon Health Care Services,Inc.
• Canyon Iup, LLC
• Jacqueline Cao, PHARM D., RPH

• All providers in Tucson, AZ
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.