Copper Star Care LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

COPPER STAR CARE LLC

Doing business as

Copper Star Home Care

Practice address

16974 S Rustling Leaf TRL
Vail, AZ 85641-8748

Phone

(520) 703-0064

NPI assigned

Jun 18, 2026

Last updated

Jun 18, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Alyssa Kennedy, CHWNPI 1679409510

Title

Owner

Phone

(520) 703-0064

Specialties & licenses 5

Addresses

Other names 1

• COPPER STAR HOME CARE Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Kennedy

  • Community Health Worker
  • Vail, AZ
  • NPI 1679409510
  NPD Authorized official
• John Carrick Kennedy, CHW

  • Community Health Worker
  • Vail, AZ
  • NPI 1023944964
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1457287385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16974 S RUSTLING LEAF TRL",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856418748",
            "telephone_number": "520-703-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16974 S RUSTLING LEAF TRL",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856418748",
            "telephone_number": "520-703-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER STAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-703-0064",
        "authorized_official_credential": "CHW"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COPPER STAR HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Health Worker in Vail, AZ
• Providers in Vail, AZ by specialty
• Community Health Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.