Organization Active NPI

Canyon Creek Property Management LLC

Doing business as Canyon Creek

  • Assisted Living Facility
  • Cottonwood Heights, UT
National Provider Identifier
1902172547
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CANYON CREEK PROPERTY MANAGEMENT LLC
Doing business as
Canyon Creek
Practice address
7235 Union Park Ave
Cottonwood Heights, UT 84047-4700
Phone
(801) 568-9909
Fax
(801) 563-1305
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Andrew White
Title
Ceo, President, Secretary
Phone
(503) 684-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7235 Union Park Ave
Cottonwood Heights, UT 84047-4700

Mailing address

1800 SW First Ave
Suite 180
Portland, OR 97201-5333
Phone (503) 684-1123

Other names 1

  • Canyon Creek Doing business as

National Provider Directory

National Provider Directory

Locations

1800 SW 1st Ave
Ste 180
Portland, OR 97201

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1902172547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW FIRST AVE",
            "address_2": "SUITE 180",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015333",
            "telephone_number": "503-684-1123",
            "fax_number": "503-684-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 UNION PARK AVE",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840474700",
            "telephone_number": "801-568-9909",
            "fax_number": "801-563-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CREEK PROPERTY MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO, PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "503-684-1123"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.