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LEGACY SENIOR MANAGEMENT LLC
NPI 1881833614
Assisted Living Facility in Mesa, AZ

Active since February 18, 2009
5037 E BROADWAY RD, MESA, AZ 85206(480) 924-4073(480) 396-0191 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Senior Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY SENIOR MANAGEMENT LLC (NPI 1881833614) is a healthcare organization registered as an assisted living facility in Mesa, Arizona and active in the NPI registry since February 2009. The organization lists Jason R Guinn, A/r Coordinator, as its authorized official.

NPPES Registry Identity

NPI1881833614
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOPPER VILLAGE
Location Address5037 E BROADWAY RDMesa, AZ 85206-1301
Mailing Address5037 E Broadway RdMesa, AZ 85206-1301 · (480) 924-4073 · Fax (480) 396-0191
Phone(480) 924-4073
Fax(480) 396-0191
Organization SubpartNo
Authorized OfficialJason R GuinnA/r Coordinator · (602) 368-8203
Enumeration DateFebruary 18, 2009
✔ NPI 1881833614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AZ · ALC-5776
Definition
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.
5037 E BROADWAY RD, Mesa, AZ 85206
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Other Names 1

Doing Business AsLegacy Senior Management Llc

Other Identifiers 1

Medicaid099345AZ

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITESTONE SENIOR LIVING LLC
Assisted Living Facility
5037 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 924-4073
WHITESTONE COTTAGE LIVING LLC
Assisted Living Facility
5037 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 924-4073
WHITESTONE ADC LLC
Clinic/Center (Adult Day Care)
5037 E BROADWAY RD
MESA, AZ 85206
Maricopa County (480) 924-4073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Copper Village's NPI number?

The NPI number for Copper Village is 1881833614. It was assigned to this organization in the NPPES registry on February 18, 2009. The provider is doing business as Legacy Senior Management LLC.

Where is Copper Village located?

Copper Village is located at 5037 E Broadway Rd, Mesa, AZ 85206. The listed phone number is (480) 924-4073.

What is Copper Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Copper Village was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.