Canyon Homes Inc

LBN: Canyon Home Iii
Canyon Homes Inc is an health care organization with primary practice located at 10712 Artrude St , Shadow Hills CA 91040-1314. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, which is considered as the primary health care specialty. Canyon Home Iii can be contacted via phone (818) 353-1514, or through Denogean, Richard W. via phone (818) 353-8214.

Contact Information

Primary practice address
10712 Artrude St Shadow Hills CA 91040-1314
Phone: (818) 353-1514
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Denogean, Richard W. Registered Nurse (RN)
Phone: (818) 353-8214

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 960001061 California

Profile Details

NPI number 1669527941
LBN Legal business name Canyon Home Iii
DBA Doing business as Canyon Homes Inc
Authorized official Denogean, Richard W. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 8th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669527941 NPPES
California MEDICAID LTC60886F

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