COPPER HEALTH ORO VALLEY LLC (NPI# 1336561521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336561521 |
| Entity Type | Organization |
| Organization Name | COPPER HEALTH ORO VALLEY LLC |
| Other Organization Name | COPPER HEALTH ORO VALLEY |
| Practice Address |
1119 E Rancho Vistoso Blvd Oro Valley AZ 85755-9106 |
| Mailing Address |
3602 E Greenway Rd Suite 104 Phoenix AZ 85032-4648 |
| Practice Telephone | 5208234669 |
| Mailing Telephone | 6023688203 |
| Mailing Fax Number | 6023688211 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | GREGORY TERRENCE MCNELLIS (OWNER/MANAGER) |
| Authorized Official Telephone | 6129919062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCI2725 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPT. OF HEALTH SERVICES | NCI2725 | 01 |
| Other Name | Type Code |
|---|---|
| Copper Health Oro Valley | Doing Business As Name - Organization |
| Street Address |
1119 E RANCHO VISTOSO BLVD |
| City | ORO VALLEY |
| State | AZ |
| Zip Code | 85755-9106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205185634 | Villa Fatima Oro Valley LLC | Skilled Nursing Facility | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2012-08-30 |
| 1649745209 | Julianne Levich | Occupational Therapist | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2018-10-10 |
| 1679064646 | Cassie Martinez | Physical Therapy Assistant | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2018-05-24 |
| 1083134621 | Emily Taylor Hayes | Physical Therapist | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2017-06-25 |
| 1841732880 | Kevin Fielding | Community Health Worker | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2016-11-08 |
| 1831549641 | Carolyn Terkla | Physical Therapy Assistant | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2016-06-13 |
| 1134590540 | Kimberly Brown | Physical Therapy Assistant | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2015-10-12 |
| 1043689052 | Grace Elizabeth Pelzel | Occupational Therapy Assistant | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2015-09-20 |
| 1750778627 | Melissa Southard | Occupational Therapy Assistant | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2015-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
| 1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
| 1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
| 1033442967 | Terri Farmer PC | Nurse Practitioner | 12450 N. Rancho Vistoso Blvd, Suite 100, Oro Valley, AZ 85755 | 2009-09-10 |
| 1902036338 | David Lee Chaffee Jr. | Dentist | 1880 E Tangerine Rd, Suite 190, Oro Valley, AZ 85755 | 2009-07-20 |
| 1043459738 | Tangerine Dental Group, LLP | Dentist | 1880 East Tangerine Road, Suite 190, Oro Valley, AZ 85755 | 2009-02-19 |
| 1982819736 | Kirsten Pennartz | Physical Therapist | 12460 N Rancho Vistoso Blvd, 140, Oro Valley, AZ 85755 | 2007-05-14 |
| 1346453339 | Michael William Lang | Dentist | 1171 E. Rancho Vistoso Blvd, Suite 157, Oro Valley, AZ 85755 | 2007-05-07 |
| 1871629758 | Phyllis Huttenhoff Menard | Marriage & Family Therapist | 2274 E Montrose Cyn Dr, Tucson, AZ 85755 | 2007-02-26 |
| 1639236581 | Athlon Physical Therapy, LLC | Physical Therapist | 12460 N. Rancho Vistoso Blvd., Suite 140, Oro Valley, AZ 85755 | 2007-01-02 |
| Find all providers in zip 85755 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205185634 | Villa Fatima Oro Valley LLC | Skilled Nursing Facility | 1119 E Rancho Vistoso Blvd, Oro Valley, AZ 85755-9106 | 2012-08-30 |
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|---|---|---|---|---|
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| 1487215067 | Ludden Healthcare, Inc. | Skilled Nursing Facility | 14660 W Parkwood Dr, Surprise, AZ 85374-4590 | 2019-06-25 |
| 1396208955 | Manuella D Khoshaba | Skilled Nursing Facility | 13821 W Crocus Dr, Surprise, AZ 85379-8340 | 2019-04-10 |
| 1518489244 | Moc Surprise, LLC | Skilled Nursing Facility | 14660 West Parkwood Drive, Surprise, AZ 85374 | 2017-07-14 |
| 1780106765 | Moc Tucson, LLC | Skilled Nursing Facility | 5151 East Pima Street, Tucson, AZ 85712 | 2017-07-12 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1891234126 | Center At Tucson, LLC | Skilled Nursing Facility | 5020 East Glen Street, Tucson, AZ 85712 | 2017-02-20 |
| Find all providers with the same taxonomy | ||||
| City | ORO VALLEY |
| Zip Code | 85755 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.