Organization
COPPER STAR CARE LLC
Active
Organization
COPPER STAR CARE LLC
Active
Other names
COPPER STAR HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ALYSSA KENNEDY CHW (OWNER)
(520) 703-0064
Entity
Organization
Contact information
Practice address
16974 S RUSTLING LEAF TRL, VAIL, AZ 85641-8748
(520) 703-0064
Mailing address
16974 S RUSTLING LEAF TRL, VAIL, AZ 85641-8748
(520) 703-0064
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up