Healthcare Provider Details

I. General information

NPI: 1326559444
Provider Name (Legal Business Name): CANYON COLORADO HOME CARE & HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 HAHNS PEAK DR UNIT 220
LOVELAND CO
80538-6003
US

IV. Provider business mailing address

746 E WINCHESTER ST STE 200
MURRAY UT
84107-8513
US

V. Phone/Fax

Practice location:
  • Phone: 801-456-7874
  • Fax:
Mailing address:
  • Phone: 801-485-6166
  • Fax: 801-531-1949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: BREEZIE LISKEY
Title or Position: VP OF OPERERATIONS
Credential:
Phone: 801-485-6166