Copper State Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COPPER STATE HOSPICE INC

Practice address

1 S Church Ave Ste 1200 Office 1216
Tucson, AZ 85701-1620

Phone

(205) 612-2181

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Brian Schemp

Title

Ceo

Phone

(520) 612-2181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 001511

Legal name

COPPER STATE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 14, 2022

Last certification

Jul 14, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 25, 2021 in CA

Enrollment address

1 S Church Ave Ste 1200, Office 1216
Tucson, AZ 85701-1612

Listed as

Copper State Hospice IncCCN 001511

Ownership

For-Profit

Certified

Jul 14, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Jason L Schemp, MD

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1992969695

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jason L Schemp, MD

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1992969695

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1316616238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CHURCH AVE STE 1200 OFFICE 1216",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011620",
            "telephone_number": "520-612-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CHURCH AVE STE 1200 OFFICE 1216",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011620",
            "telephone_number": "205-612-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER STATE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "SCHEMP",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-612-2181"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E. Copfer, PHARMD, BCNSP
• Copihue Counseling, LLC
• Shelby Leigh Coplen, PA-C
• Amy Lauren Copler, MS, SLPA
• Copper Regional Pain Services Inc
• Copper Valley Primary Care
• Copperstate OB-GYN Associates, LTD
• Devin Coppess, RN
• Lynn M. Coppola, M.D.
• Dawn Michelle Copps, LPC

• Community Based Hospice Care Agency in Tucson, AZ
• Providers in Tucson, 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 Apr 4, 2024; 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.