CHANDLER FAIRVIEW PARTNERS LLC NPI 1932479946

NPI Information

  • NPI: 1932479946
  • Provider Name: CHANDLER FAIRVIEW PARTNERS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: COPPER CREEK INN MEMORY CARE
  • CLIA Number: 03D2045161
  • Address: 2200 WEST FAIRVIEW ST.
    CHANDLER, AZ
    ZIP 85224
  • Phone: (480) 634-4191

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NPI Details

CHANDLER FAIRVIEW PARTNERS LLC is an assisted living facility in Chandler, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CHANDLER FAIRVIEW PARTNERS LLC NPI is 1932479946. The provider is registered as an organization entity type.
The provider Is Doing Business As Copper Creek Inn Memory Care.

The provider's business location address is:

2200 WEST FAIRVIEW ST.
CHANDLER, AZ
ZIP 85224
Phone: (480) 634-4191

The provider's authorized official is Emmett Aaron Koelsch .
The authorized official title is Owner and has the following contact phone number (360) 867-1900.

The CLIA number assigned to this NPI record is 03D2045161 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 12/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes
2311500000XAlzheimer Center (Dementia Center)AL8609CARIZONANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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