Canyon Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000001098 Issued in TN

Legal business name

CANYON HEALTHCARE, LLC

Practice address

1785 Nonconnah Blvd
Suite 107
Memphis, TN 38132-2104

Phone

(855) 211-8200

Fax

(888) 891-3929

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Chris Henry

Title

Owner/Managing Member

Phone

(855) 211-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1396087417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 NONCONNAH BLVD",
            "address_2": "SUITE 107",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322104",
            "telephone_number": "855-211-8200",
            "fax_number": "888-891-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 NONCONNAH BLVD",
            "address_2": "SUITE 107",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322104",
            "telephone_number": "855-211-8200",
            "fax_number": "888-891-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "855-211-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000001098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Cannon, MS, LPC-MHSP, NCC
• Tyler Austin Cannon, M.D.
• Tara Canova, PTA
• Melissa Canterbury, LMFT
• Laura Cantrell, MS, RDN, LDN
• Kathleen Tieu Linh Cao, MD
• Wenlei Cao
• Yan Cao, M.D.
• Capable Care
• Hays Torgerson Cape

• Durable Medical Equipment & Medical Supplies in Memphis, TN
• Providers in Memphis, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.