Canyon Ogden Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CANYON OGDEN HOSPICE LLC

Practice address

5926 Fashion Point Dr Ste 200
South Ogden, UT 84403-4713

Phone

(801) 334-0904

Fax

(801) 334-0908

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 Hospice Doing business as

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": "1760163331",
    "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": "801-485-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 FASHION POINT DR STE 200",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034713",
            "telephone_number": "801-334-0904",
            "fax_number": "801-334-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON OGDEN HOSPICE 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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy L Caldwell
• Jamie Call, RBT
• Karynn Camp
• Jason D Campbell, DPM
• Canyon Ogden Home Health LLC
• Canyonlands Medical LC
• Canyonlands Medical LC
• Carbajal Kids, LLC
• L Scott Cardon, M.D.
• Kristen Carpenter, MT-BC

• Community Based Hospice Care Agency in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Community Based Hospice Care Agency in Utah

• 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.