DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COPPER HEALTH ORO VALLEY LLC

MEDICARE: COPPER HEALTH ORO VALLEY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNCI2725AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NCI2725OTHERAZARIZONA DEPT. OF HEALTH SERVICES

General Provider Information

NPI Number : 1336561521
Entity Type Code : Organization
Provider Name (Legal Business Name) : COPPER HEALTH ORO VALLEY LLC
Provider Business Mailing Address
First Line : 3602 E GREENWAY RD
Second Line : SUITE 104
City : PHOENIX
State : AZ
Zip : 85032-4648
Country : US
Telephone Number : 602-368-8203
Fax Number : 602-368-8211
Provider Business Practice Location Address
First Line : 1119 E RANCHO VISTOSO BLVD
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-9106
Country : US
Telephone Number : 520-823-4669
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGER
Name : GREGORY TERRENCE MCNELLIS
Credential :
Telephone Number : 612-991-9062
Provider Enumeration Date : 01/08/2014
Last Update Date : 07/07/2015

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:
200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935
Practice Phone: 209-239-2197
Practice Fax: 209-239-7672
1205185634 — VILLA FATIMA ORO VALLEY LLC
Practice Location Address:
1119 E RANCHO VISTOSO BLVD
ORO VALLEY, AZ
85755-9106
Practice Phone: 520-903-4099
Practice Fax: 520-844-1060
1134590540 — KIMBERLY BROWN
Practice Location Address:
1119 E RANCHO VISTOSO BLVD
ORO VALLEY, AZ
85755-9106
Practice Phone: 520-433-4773
Practice Fax:
1831549641 — CAROLYN TERKLA
Practice Location Address:
1119 E RANCHO VISTOSO BLVD
ORO VALLEY, AZ
85755-9106
Practice Phone: 520-825-4669
Practice Fax:
1841732880 — KEVIN FIELDING COTA/L
Practice Location Address:
1119 E RANCHO VISTOSO BLVD
ORO VALLEY, AZ
85755-9106
Practice Phone: 520-825-4669
Practice Fax:
1083134621 — DR. EMILY TAYLOR HAYES DPT
Practice Location Address:
1119 E RANCHO VISTOSO BLVD
ORO VALLEY, AZ
85755-9106
Practice Phone: 520-825-4669
Practice Fax:

Directions to “COPPER HEALTH ORO VALLEY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.