Canyon Care LLC
Canyon Care LLC is a healthcare organization registered as Family Medicine Physician in Alta, UT, holding Type 2 (organization) NPI 1417509860 since 2019. The authorized official on file is Kenneth Libre, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417509860 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Canyon Care LLC |
| Practice address | 10160 E STATE HIGHWAY 210 STE 2, Alta, UT, 84092 |
| Phone | 8017429820 |
| Enumeration date | 2019-07-15 |
| Last updated in NPPES | 2019-07-15 |
Authorized official
| Name | Kenneth Libre |
|---|---|
| Title | Medical Director |
| Phone | 8017429820 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Canyon Care LLC NPI: 1417509860 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 10160 E STATE HIGHWAY 210 STE 2, Alta, UT, 84092
Verify this record
Cross-check NPI 1417509860 against the authoritative CMS record: view Canyon Care LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Canyon Care LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-07-15.