Chandler Fairview Partners LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHANDLER FAIRVIEW PARTNERS LLC

Doing business as

Copper Creek Inn Memory Care

Practice address

2200 West Fairview St.
Chandler, AZ 85224

Phone

(480) 634-4191

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Emmett Aaron Koelsch

Title

Owner

Phone

(360) 867-1900

Specialties & licenses 2

Addresses

Other names 1

• Copper Creek Inn Memory Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1932479946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET ST NE",
            "address_2": "STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-867-1900",
            "fax_number": "360-867-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WEST FAIRVIEW ST.",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-634-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER FAIRVIEW PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "KOELSCH",
        "authorized_official_first_name": "EMMETT",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-867-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": "AL8609C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Creek Inn Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandler Endocrinology, LLC
• Chandler Endoscopy Ambulatory Surgery Center, LLC (Chandler Endoscopy Center)
• Chandler Endoscopy Center, L.L.C.
• Chandler Eye Center
• Chandler Eyecare LLC
• Chandler Family Chiropractic & Rehab, PLLC
• Chandler Family Practice, PC
• Chandler Health Associates LLC
• Chandler Health Coach
• Chandler Health Systems LLC

• Assisted Living Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.