NPIMap

Organization Active NPI

Western Canal Healthcare LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tempe, AZ
National Provider Identifier
1902408313
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
WESTERN CANAL HEALTHCARE LLC
Practice address
6100 S Rural Rd
Tempe, AZ 85283-2904
Phone
(480) 831-8660
Fax
(480) 838-2243
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

6100 S Rural Rd
Tempe, AZ 85283-2904

Mailing address

6100 S Rural Rd
Tempe, AZ 85283-2904
Phone (480) 831-8660

Other names 1

  • Tempe Post Acute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desert Marigold Senior Living of Tempe3 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.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1902408313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832904",
            "telephone_number": "480-831-8660",
            "fax_number": "480-838-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832904",
            "telephone_number": "480-831-8660",
            "fax_number": "480-838-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CANAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tempe Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tempe Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.