Canyon Home Iii in Shadow Hills - Intermediate Care Facility, Mental Illness
Canyon Home Iii - NPI 1669527941
Canyon Home Iii is a Intermediate Care Facility, Mental Illness in Shadow Hills, California. Canyon Home Iii practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Canyon Home Iii is 1669527941. The last update date is 2020-08-22.
Canyon Home Iii's current location address is 10712 Artrude St, Shadow Hills, California. You can contact this provider via phone number 8183531514. The mailing address for Canyon Home Iii is 10712 Artrude St, Shadow Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canyon Home Iii |
|---|---|
| Address | 10712 Artrude St, Shadow Hills, California |
| Phone Number | 8183531514 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Denogean W. Richard |
| Credentials | RN CDDN |
| Telephone Number | 8183531514 |
NPI Number Detail
| NPI Number | 1669527941 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10712 Artrude St |
|---|---|
| City | Shadow Hills |
| State | California (CA) |
| Post Code | 910401314 |
| Phone Number | 8183531514 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60886F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Canyon Home Iii by the Centers for Medicare & Medicaid Services?
The Canyon Home Iii has been issued the NPI (National Provider Identifier) 1669527941, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Canyon Home Iii is physically located?
The Canyon Home Iii is physically situated at the following address: 10712 Artrude St, Shadow Hills, CA, 910401314.
What is Canyon Home Iii's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Canyon Home Iii is Intermediate Care Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 310500000X.
On what date did the Canyon Home Iii receive the assignment of its 1669527941 from the Centers for Medicare & Medicaid Services?
The Canyon Home Iii was issued its 1669527941 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the Canyon Home Iii's information last updated?
The Canyon Home Iii's information was last updated on 2020-08-22.
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