Canyons Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CANYONS SENIOR LIVING LLC

Practice address

4334 N Bright Angel Ave
Meridian, ID 83646-3611

Phone

(208) 376-7298

Fax

(208) 377-8310

NPI assigned

Oct 27, 2025

Organization subpart

No

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

Authorized official

Name

Kameron Lemon

Title

Member

Phone

(208) 376-7298

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1942178405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 N BRIGHT ANGEL AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463611",
            "telephone_number": "208-376-7298",
            "fax_number": "208-377-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 N BRIGHT ANGEL AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463611",
            "telephone_number": "208-376-7298",
            "fax_number": "208-377-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYONS SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "LEMON",
        "authorized_official_first_name": "KAMERON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-376-7298"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Meridian, ID
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.