NPIMap

Organization Active NPI

Canyon Oaks Assisted Living LLC

  • Assisted Living Facility
  • Chandler, AZ
National Provider Identifier
1326624610
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CANYON OAKS ASSISTED LIVING LLC
Practice address
1890 E Woodsman PL
Chandler, AZ 85286-1096
Phone
(480) 696-4158
Fax
(480) 625-3156
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Lorena Jeanette AcunaNPI 1063000255
Title
Manager
Phone
(323) 439-3096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1890 E Woodsman PL
Chandler, AZ 85286-1096

Mailing address

1890 E Woodsman PL
Chandler, AZ 85286-1096
Phone (480) 696-4158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1326624610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 E WOODSMAN PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861096",
            "telephone_number": "480-696-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 E WOODSMAN PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861096",
            "telephone_number": "480-696-4158",
            "fax_number": "480-625-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON OAKS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "ACUNA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-439-3096"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.