# CANYON BULLHEAD HOME HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyon Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326729997
- **Authorized official:** BREEZIE LISKEY (VP OF OPERATIONS)
- **Authorized official phone:** (801) 456-7874

## Contact information

- **Practice address:** 2031 HWAY 95 STE 2, BULLHEAD CITY, AZ 86442-6004
- **Practice address phone:** (928) 605-4009
- **Practice address fax:** (928) 605-4644
- **Mailing address:** 450 S 900 E STE 100, SALT LAKE CITY, UT 84102-2983
- **Mailing address phone:** (801) 456-7874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2023
- **Last updated:** 07/27/2023