COPPER CREEK SL LLC – NPI #1073474326
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Health Care Provider Taxonomy Code for Assisted Living Facility

COPPER CREEK SL LLC is an assisted living facility located in WEST UNION, IA. NPPES has assigned the NPI number 1073474326 to COPPER CREEK SL LLC on November 18, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COPPER CREEK SL LLC below.

NPI Profile for
COPPER CREEK SL LLC

NPI Number
1073474326
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COPPER CREEK SL LLC
Primary location
609 IA-150
WEST UNION, IA 52175
Phone: (563) 412-5314 Fax:
Mailing address
3520 E RIVER RD NE
ROCHESTER, MN 55906-5407
Phone: Fax:
Organization Subpart
No
Authorized Official
JORDAN LANGE
VP BUSINESS STRATEGIES
Phone: (507) 251-6356
Updated
Certification Date
Nov 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.