Active NPI
Copper Springs Hospital, LLC
Doing business as Copper Springs
- Psychiatric Hospital
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- COPPER SPRINGS HOSPITAL, LLC
- Doing business as
- Copper Springs
- Practice address
- 10550 W. McDowell Rd
Avondale, AZ 85392-4864 - Phone
- (480) 565-3035
- Fax
- (480) 565-3036
- NPI assigned
- Dec 17, 2015
- Last updated
- May 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | AZ | Primary |
Addresses
Primary practice location
10550 W. McDowell Rd
Avondale, AZ 85392-4864
Mailing address
4801 Olympia Park PLZ Ste 1000
Louisville, KY 40241-2090
Phone (502) 916-8830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149746 | Medicaid | AZ |
Other names 1
- Copper Springs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160426001782 | AZ | Part A Provider - Hospital | 1658670690 |
1 other NPI on this enrollment Practice locations: Avondale, AZ; Gilbert, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336504380. Details of each certification follow.
Hospital certification: CCN 034032
- Legal name
- COPPER SPRINGS HOSPITAL LLC
- Doing business as
- COPPER SPRINGS - EAST
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Jun 1, 2016
- Last certification
- Apr 9, 2019
- Beds
- 72
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Incorporated
- Sep 24, 2014 in DE
- Enrollment address
- 10550 W McDowell Rd
Avondale, AZ 85392-4864 - Hospital subgroups
- Psychiatric
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Copper Springs East
- Psychiatric Hospital
- Gilbert, AZ
- NPI 1407480254
O20160426001782
Care Compare: Hospital
Medicare Care Compare- Listed as
- Copper Springs East- Gilbert
- Type
- Psychiatric
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Copper Springs Hospital LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Copper Springs East
- Psychiatric Hospital
- Gilbert, AZ
- NPI 1407480254
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Psychiatry Physician
- Avondale, AZ
- NPI 1700238318
Member Of
Ownership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Martin F. Mann | Corporate Officer | Feb 7, 2023 | |
| Lifepoint Behavioral Health, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
| Nicoletta B Tessler | Corporate Officer | Aug 4, 2025 | |
| Jessica Black | W-2 Managing Employee | Dec 1, 2018 | |
| Lifepoint Rehab Blocker LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
| Lifepoint Rehab LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
| DSB Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
| Christopher J Jagoditz | Corporate Officer | Oct 20, 2025 | |
| Springstone Health Opco, LLC | 5% Or Greater Direct Ownership Interest | Jan 22, 2016 | 100% |
| Lifepoint Health Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
| Marcus B Poppell | Other | Feb 7, 2023 | |
| Charlotte E Lawrence | Corporate Officer | Feb 7, 2023 | |
| Elliott Brown | Corporate Officer | Apr 2, 2026 | |
| LPNT Autumn Holdco, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
| Christopher J Monte | Corporate Officer | Feb 7, 2023 | |
| Lifepoint Behavioral Health Services, LLC | Operational/Managerial Control | Feb 7, 2023 | |
| Lifepoint Rehab Blocker Parent LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 100% |
Facilities with the same owner 70
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Cornerstone Behavioral Health El Dorado
- Psychiatric Hospital
- Tucson, AZ
- NPI 1649646787
Lifepoint Behavioral Health Services, LLC, Lifepoint Behavioral Health, LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Dignity Health East Valley Rehabilitation Hospital
- Rehabilitation Hospital
- Chandler, AZ
- NPI 1649725193
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Dignity Health East Valley Rehabilitation Hospital - Gilbert
- Rehabilitation Hospital
- Gilbert, AZ
- NPI 1689303562
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Anderson Rehabilitation Institute
- Rehabilitation Hospital
- Edwardsville, IL
- NPI 1396338703
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Atlantic Rehabilitation Institute
- Rehabilitation Hospital
- Madison, NJ
- NPI 1437627577
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba University Hospitals Avon Rehabilitation Hospital
- Rehabilitation Hospital
- Avon, OH
- NPI 1316317779
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Baptist Memorial Rehabilitation Hospital - Madison
- Rehabilitation Hospital
- Madison, MS
- NPI 1457163156
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Baptist Memorial Rehabilitation Hospital
- Rehabilitation Hospital
- Germantown, TN
- NPI 1235553066
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba University Hospitals Rehabilitation Hospital
- Rehabilitation Hospital
- Beachwood, OH
- NPI 1497002398
Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC
-
dba Beckett Springs
- Psychiatric Hospital
- West Chester, OH
- NPI 1538404371
Lifepoint Behavioral Health Services, LLC, Lifepoint Behavioral Health, LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, LPNT Autumn Holdco, LLC, Springstone Health Opco, LLC
-
dba Brentwood Springs
- Psychiatric Hospital
- Newburgh, IN
- NPI 1457594830
Lifepoint Behavioral Health Services, LLC, Lifepoint Behavioral Health, LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC, LPNT Autumn Holdco, LLC, Springstone Health Opco, LLC
-
dba Carrollton Springs
- Psychiatric Hospital
- Carrollton, TX
- NPI 1134401466
Lifepoint Behavioral Health Services, LLC, Lifepoint Behavioral Health, LLC, Lifepoint Rehab Blocker LLC, Lifepoint Rehab Blocker Parent LLC, Lifepoint Rehab LLC, LPNT Autumn Holdco, LLC, Springstone Health Opco, LLC
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Copper Springs East
- Psychiatric Hospital
- Gilbert, AZ
- NPI 1407480254
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Scottsdale, AZ
- NPI 1174814594
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1306465042
-
- Psychiatry Physician
- Glendale, AZ
- NPI 1558715490
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1083068050
-
- Psychiatry Physician
- Avondale, AZ
- NPI 1952414401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1336504380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 OLYMPIA PARK PLZ STE 1000",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412090",
"telephone_number": "502-916-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10550 W. MCDOWELL RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924864",
"telephone_number": "480-565-3035",
"fax_number": "480-565-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COPPER SPRINGS HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-17",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149746",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Copper Springs",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Copper Springs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.