Copper Sky Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COPPER SKY HOSPICE LLC

Practice address

7600 N 16TH St Ste 112
Phoenix, AZ 85020-4446

Phone

(602) 830-0605

Fax

(602) 830-0630

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Jackson

Title

Administrator

Phone

(602) 830-0605

Specialties & licenses 1

Addresses

Other names 1

• Advocate Hospice and Palliative Care LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 001505

Legal name

COPPER SKY HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 27, 2022

Last certification

May 27, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Enrollment address

7600 N 16TH St
Ste 112
Phoenix, AZ 85020-4446

Listed as

Copper Sky Hospice LLCCCN 001505

Ownership

For-Profit

Certified

May 27, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kevin Gordon Jackson, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1225032782

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Gordon Jackson, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1225032782
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1073199394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 N 16TH ST STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204446",
            "telephone_number": "602-830-0605",
            "fax_number": "602-830-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 16TH ST STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204446",
            "telephone_number": "602-830-0605",
            "fax_number": "602-830-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER SKY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-830-0605",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advocate Hospice and Palliative Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cynthia R Copley, M.D.
• Christopher Scott Coplin, D.M.D
• Jeffrey Allan Copoloff, DPM
• Copper Canyon Health
• Copper Code Correlation LLC
• Copper Star Anesthesia, LLC
• Copper Star Medical Supply
• Copper State Orthopedics, LTD
• Copper Sun Nutrition
• Copper Valley Care LLC

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.