Canyon Bullhead Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CANYON BULLHEAD HOME HEALTH LLC

Doing business as

Canyon Home Care

Practice address

2031 Hway 95 Ste 2
Bullhead City, AZ 86442-6004

Phone

(928) 605-4009

Fax

(928) 605-4644

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Breezie Liskey

Title

VP of Operations

Phone

(801) 456-7874

Specialties & licenses 1

Addresses

Other names 1

• Canyon Home Care Doing business as

Locations

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1326729997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022983",
            "telephone_number": "801-456-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 HWAY 95 STE 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426004",
            "telephone_number": "928-605-4009",
            "fax_number": "928-605-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON BULLHEAD HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "LISKEY",
        "authorized_official_first_name": "BREEZIE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "801-456-7874"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Burch, M.A., L.P.C.
• Kerry D Burgess, DMD
• Jennifer Diane Burns
• Kim A Butler, P.A.-C
• Claudia Camacho, MD
• Richard Augustine Cardone, M.D.
• Laura Lavinia Cardwell, DNP
• Care Management Group Inc.
• Care Planning Institute, Inc
• Kitrin Lance Carpenter, PA-C

• Home Health Agency in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.