NPIMap

Organization Active NPI

Rehabilitation and Visiting Nurse Association, LLC

Doing business as Canyon Home Care & Hospice

  • Home Health Agency
  • Loveland, CO
National Provider Identifier
1376545640
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REHABILITATION AND VISITING NURSE ASSOCIATION, LLC
Doing business as
Canyon Home Care & Hospice
Practice address
4850 Hahns Peak Dr Unit 220
Loveland, CO 80538-6003
Phone
(970) 330-5655
Fax
(970) 305-8610
NPI assigned
Jun 1, 2005
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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) 485-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CO Primary

Addresses

Primary practice location

4850 Hahns Peak Dr Unit 220
Loveland, CO 80538-6003

Mailing address

746 E Winchester St Ste 200
Murray, UT 84107-8513
Phone (801) 485-6166

Other names 3

  • Canyon Home Care & Hospice Doing business as
  • Rehabilitation and Visiting Nurse Association Former legal business name
  • Canyon Colorado Home Care & Hospice LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021121000012 CO Part A Provider - Home Health Agency 8921916206 Practice locations: Loveland, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376545640. Details of each certification follow.

Home health agency certification: CCN 067169

Legal name
REHABILITATION AND VISITING NURSE ASSOCIATION LLC
Doing business as
CANYON HOME CARE & HOSPICE OF LOVELAND
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 6, 1989
Last certification
Feb 3, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 27, 1979 in CO
Enrollment address
4850 Hahns Peak Dr
Suite 100
Loveland, CO 80538-6001

Care Compare: Home health agency

Medicare Care Compare
Listed as
Canyon Home CareCCN 067169 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 6, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5205 S College Ave
Fort Collins, CO 80525
Phone (970) 225-9399

2105 Clubhouse Dr
Greeley, CO 80634
Phone (970) 330-5655

350 E 7th St
Ste 2
Loveland, CO 80537

4850 Hahns Peak Dr
Loveland, CO 80538
Phone (720) 209-6575

4850 Hahns Peak Dr
Unit 100
Loveland, CO 80538
Phone (970) 330-5655

4850 Hahns Peak Dr
Unit 220
Loveland, CO 80538
Phone (801) 456-7874

746 E Winchester St
Ste 200
Salt Lake City, UT 84107

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Canyon Colorado Home Care & Hospice LLC Organization, Salt Lake City, UT LLC 5% Or Greater Direct Ownership Interest Aug 16, 2018 100%
Orange Healthcare, LLC Organization, Holladay, UT LLC 5% Or Greater Indirect Ownership Interest Aug 16, 2018
Kenneth Edwin Norris Individual 5% Or Greater Indirect Ownership InterestManaging Partner Aug 16, 2018 50%
Corporate OfficerCeo Aug 16, 2018 100%
W-2 Managing EmployeeCeo Aug 16, 2018 100%
Tyson Cichos Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2018 25%
Cory R Robison Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2018 25%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1376545640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 E WINCHESTER ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078513",
            "telephone_number": "801-485-6166",
            "fax_number": "801-531-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 HAHNS PEAK DR UNIT 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805386003",
            "telephone_number": "970-330-5655",
            "fax_number": "970-305-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION AND VISITING NURSE ASSOCIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "LISKEY",
        "authorized_official_first_name": "BREEZIE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "801-485-6166"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rehabilitation and Visiting Nurse Association",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rehabilitation and Visiting Nurse Association",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Canyon Colorado Home Care & Hospice LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.