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COPPER CREEK INN MEMORY CARE
NPI 1932479946
Assisted Living Facility in Chandler, AZ

Active since January 06, 2012
2200 WEST FAIRVIEW ST., CHANDLER, AZ 85224(480) 634-4191 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Copper Creek Inn Memory Care NPPES

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

COPPER CREEK INN MEMORY CARE (NPI 1932479946) is a healthcare organization registered as an assisted living facility in Chandler, Arizona and active in the NPI registry since January 2012. The organization lists Emmett Aaron Koelsch, Owner, as its authorized official.

NPPES Registry Identity

NPI1932479946
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHANDLER FAIRVIEW PARTNERS LLC
Location Address2200 WEST FAIRVIEW ST.Chandler, AZ 85224
Mailing Address111 Market St Ne, Ste 200Olympia, WA 98501 · (360) 867-1900 · Fax (360) 867-1956
Phone(480) 634-4191
Organization SubpartNo
Authorized OfficialEmmett Aaron KoelschOwner · (360) 867-1900
Enumeration DateJanuary 6, 2012
Last NPPES UpdateDecember 5, 2024
✔ NPI 1932479946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License AL8609C (AZ)
2200 WEST FAIRVIEW ST., Chandler, AZ 85224
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Other Names 1

Doing Business AsCopper Creek Inn Memory Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2045161

Copper Creek Inn · Chandler, AZ
Expired · Aug 7, 2026
CLIA Number03D2045161
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorNaomi Hartmann
Laboratory Phone(480) 634-4191
Laboratory LocationCopper Creek Inn2200 W Fairview Street, Chandler, AZ 85224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chandler Fairview Partners LLC's NPI number?

The NPI number for Chandler Fairview Partners LLC is 1932479946. It was assigned to this organization in the NPPES registry on January 6, 2012. The provider is doing business as Copper Creek Inn Memory Care.

Where is Chandler Fairview Partners LLC located?

Chandler Fairview Partners LLC is located at 2200 West Fairview St., Chandler, AZ 85224. The listed phone number is (480) 634-4191.

What is Chandler Fairview Partners LLC'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 Chandler Fairview Partners LLC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.