CANYON OPERATING CO LLC
NPI 1194697946
Substance Abuse Rehabilitation Facility in Colorado Springs, CO
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 06D2343979
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-13-2028
About CANYON OPERATING CO LLC
This page provides the complete NPI Profile along with additional information for Canyon Operating Co Llc, a provider established in Colorado Springs, Colorado operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1194697946 assigned on September 2025. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Yitzchak Rosedale (President)
- NPI
- 1194697946 Verify this NPI
- Provider Name
- CANYON OPERATING CO LLC
- Entity Type
- Organization
- Location Address
- 3625 PARKMOOR VILLAGE DR COLORADO SPRINGS, CO 80917
- Location Phone
- (513) 530-1808
- Mailing Address
- 10123 ALLIANCE RD BLUE ASH, OH 45242
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-22-2025
- Last Update Date
- 01-30-2026
- Code Navigator
Location Map
Secondary Locations
- 1445 N Union Blvd Ste 200
Colorado Springs, CO 80909
(513) 530-1808
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2343979
- Facility Type
- Community Clinic
- Certificate Effective Date
- May 14, 2026
- Certificate Expiration Date
- May 13, 2028
- Laboratory Director
- DANIA OCONNOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Canyon Operating Co Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CANYON OPERATING CO LLC
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194697946, enumerated as an "organization" on September 22, 2025.
The provider is located at 3625 PARKMOOR VILLAGE DR COLORADO SPRINGS, CO 80917 and the phone number is (513) 530-1808.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
