MEDICARE: CANYON COLORADO HOME CARE & HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315D00000X	Inpatient Hospice
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1326559444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANYON COLORADO HOME CARE & HOSPICE LLC

Provider Business Mailing Address
First Line	:	450 S 900 E STE 100
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-2983
Country	:	US
Telephone Number	:	801-485-6166
Fax Number	:	801-531-1949

Provider Business Practice Location Address
First Line	:	4850 HAHNS PEAK DR UNIT 100
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-6001
Country	:	US
Telephone Number	:	801-456-7874
Fax Number	:

Authorized Official
Title or Position	:	VP OF OPERERATIONS
Name	:	BREEZIE JEAN LISKEY
Credential	:
Telephone Number	:	801-485-6166

Provider Enumeration Date	:	10/16/2017
Last Update Date	:	09/07/2023

Similar Medicare Providers

1376545640 — REHABILITATION AND VISITING NURSE ASSOCIATION, LLC
Practice Location Address:

4850 HAHNS PEAK DR UNIT 100
LOVELAND, CO
80538-6001

Practice Phone: 970-330-5655
Practice Fax: 970-305-8610

1538816236 — TATIANNA WOYDAK
Practice Location Address:

4850 HAHNS PEAK DR UNIT 110
LOVELAND, CO
80538-6001

Practice Phone: 970-212-1600
Practice Fax:

1902653728 — MARIA REGINA COATES
Practice Location Address:

4850 HAHNS PEAK DR UNIT 100
LOVELAND, CO
80538-6001

Practice Phone: 970-330-5655
Practice Fax:

1225901390 — RACHEL OKAZAKI
Practice Location Address:

4850 HAHNS PEAK DR UNIT 110
LOVELAND, CO
80538-6001

Practice Phone: 720-405-6201
Practice Fax:

1902760622 — ACTION BEHAVIOR CENTERS THERAPY LLC
Practice Location Address:

4850 HAHNS PEAK DR UNIT 110
LOVELAND, CO
80538-6001

Practice Phone: 720-405-6201
Practice Fax:

1639033350 — ACTION BEHAVIOR CENTERS THERAPY LLC
Practice Location Address:

4850 HAHNS PEAK DR UNIT 110
LOVELAND, CO
80538-6001

Practice Phone: 720-405-6201
Practice Fax:

Directions to “CANYON COLORADO HOME CARE & HOSPICE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.