Organization Active NPI

Canyon Rim Landholdings LLC

  • Assisted Living Facility
  • Maupin, OR
National Provider Identifier
1780486324
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CANYON RIM LANDHOLDINGS LLC
Doing business as
DBA Canyon Rim Assisted Living
Practice address
1701 George Jackson Road
Maupin, OR 97037
Phone
(541) 395-2515
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Raeann Voorhies, RN
Title
Ceo
Phone
(503) 348-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1701 George Jackson Road
Maupin, OR 97037

Mailing address

1701 George Jackson Road
Maupin, OR 97037
Phone (541) 395-2515

Other identifiers 1

IdentifierTypeStateIssuer
528974MedicaidOR

Other names 1

  • DBA Canyon Rim Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2231224Canyon Rim Assisted Living, LLC1701 George Jackson Rd, Maupin, OR 97037Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1780486324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 GEORGE JACKSON ROAD",
            "city": "MAUPIN",
            "state": "OR",
            "postal_code": "97037",
            "telephone_number": "541-395-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 GEORGE JACKSON ROAD",
            "city": "MAUPIN",
            "state": "OR",
            "postal_code": "97037",
            "telephone_number": "541-395-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIM LANDHOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "VOORHIES",
        "authorized_official_first_name": "RAEANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-348-8587",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528974",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Canyon Rim Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maupin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.