NPIMap

Organization Active NPI

HHC Poplar Springs LLC.

  • Psychiatric Hospital
  • Petersburg, VA
National Provider Identifier
1124051701
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
719 Issued in VA
Legal business name
HHC POPLAR SPRINGS LLC.
Practice address
350 Poplar Dr
Petersburg, VA 23805-9367
Phone
(804) 733-6874
Fax
(804) 861-5625
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 719 VA Primary

Addresses

Primary practice location

350 Poplar Dr
Petersburg, VA 23805-9367

Mailing address

350 Poplar Dr
Petersburg, VA 23805-9367
Phone (866) 546-2229

Other identifiers 7

IdentifierTypeStateIssuer
446487OtherVAMAMSI IOP
VA010258260MedicaidVA
VA010079659MedicaidVA
VA010079721MedicaidVA
VA010079667MedicaidVA
527050OtherVAMAMSI INPATIENT
137382OtherVAANTHEM BLUE CROSS

Other names 1

  • Poplar Springs Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040527000400 VA Part A Provider - Hospital 5991786782 Practice locations: Chester, VA; Petersburg, VA
O20200608000897 VA Part B Supplier - Clinic/Group Practice 5991786782 Receives reassigned benefits from 3 practitioners
Practice locations: Petersburg, VA; Chester, VA

Hospital certification: CCN 494022

Legal name
HHC POPLAR SPRINGS LLC
Doing business as
POPLAR SPRINGS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 27, 1984
Last certification
Jun 20, 2014
Beds
130 (75 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 22, 2004 in VA
Enrollment address
350 Poplar Dr
Petersburg, VA 23805-9367
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Poplar Springs HospitalCCN 494022
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
HHC Poplar Springs LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10138 W Broad St
Glen Allen, VA 23060
Phone (804) 661-0236

321 Poplar Dr
Ste Ab
Petersburg, VA 23805
Phone (804) 733-6874

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Wendy M Berryman Individual Contracted Managing EmployeeCfo Jan 25, 2021
Corporate OfficerCfo Jan 25, 2021
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Michael S Triggs Individual Contracted Managing EmployeeCeo- Group Jan 4, 2021
Corporate OfficerCeo - Group Jan 4, 2021
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President Nov 15, 2010 100%
Corporate DirectorVice President Nov 15, 2010 33.3%
Operational/Managerial ControlVice President Nov 15, 2010 100%
Horizon Health Corporation Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2004 100%
Horizon Health Hospital Services LLC Organization, King of Prussia, PA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2004 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Nov 15, 2010 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2007 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 18, 2024 87.4%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1124051701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POPLAR DR",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059367",
            "telephone_number": "866-546-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POPLAR DR",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059367",
            "telephone_number": "804-733-6874",
            "fax_number": "804-861-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHC POPLAR SPRINGS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "VA",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI IOP",
            "identifier": "446487",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA010258260",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA010079659",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA010079721",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA010079667",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI INPATIENT",
            "identifier": "527050",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "137382",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poplar Springs Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poplar Springs Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.