Canyon Crest Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CANYON CREST RECOVERY LLC

Practice address

19238 Arminta St
Reseda, CA 91335-1107

Phone

(781) 964-2691

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Timothy Meise

Title

Owner

Phone

(609) 342-9430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1366237778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11530 VENEZIA WAY",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19238 ARMINTA ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351107",
            "telephone_number": "781-964-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CREST RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "MEISE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-342-9430"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canby Community Clinic Inc
• Canby Dental
• Canby Retirement Corporation
• Canby Retirement Corporation
• Candu Lab Services Inc
• Maria Teresa Capanas
• Nicholas Alan Carabajal
• Abigail Cardenas, PSY.D.
• Care Connection Companions Corp
• Care Connection Home Health Agency Inc

• Substance Abuse Rehabilitation Facility in Reseda, CA
• Providers in Reseda, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.