Canyonlands Health Care Special Service District

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CANYONLANDS HEALTH CARE SPECIAL SERVICE DISTRICT

Doing business as

Canyonlands Care Center

Practice address

390 W Williams Way
Moab, UT 84532

Phone

(435) 719-4400

Fax

(435) 719-4401

NPI assigned

Feb 14, 2011

Last updated

Jun 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colette Lyman

Title

Administrator

Phone

(435) 459-1859

Specialties & licenses 1

Addresses

Other names 1

• Canyonlands Care Center Doing business as

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

CLIA laboratory certificates

Tax ID family

Cameron S Williams MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Canyonlands Health Care Special Service District

  dba Seasons Health and Rehabilitation

  • Skilled Nursing Facility
  • St George, UT
  • NPI 1174017396
  NPD tax ID
• Canyonlands Health Care Special Service District

  dba Rocky Mountain Care - Maple Dell

  • Skilled Nursing Facility
  • Payson, UT
  • NPI 1184118390
  NPD tax ID

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1881991701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 WEST WILLIAMS WAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "84532",
            "telephone_number": "435-719-4400",
            "fax_number": "435-719-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W WILLIAMS WAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "84532",
            "telephone_number": "435-719-4400",
            "fax_number": "435-719-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYONLANDS HEALTH CARE SPECIAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "LYMAN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-459-1859"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyonlands Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canyonlands Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• August Brooks
• Michelle Ann Burton, MPT
• Michelle A Buschmann, OT
• Amelia Jane Butter
• Canyonlands Chiropractic Incorporated
• Michelle Capler, LCSW
• Ma'Lynda Patricia Carrisoza
• Andrea Christina Carvajal
• Douglas Earl Caylor, RN
• Kelly Caylor

• Nursing Facility/Intermediate Care Facility in Moab, UT
• Providers in Moab, UT by specialty
• Nursing Facility/Intermediate Care Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.