Organization Active NPI

Copper Springs Hospital, LLC

Doing business as Copper Springs

  • Psychiatric Hospital
  • Avondale, AZ
National Provider Identifier
1336504380
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149746MedicaidAZ

Other names 1

  • Copper Springs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Sep 24, 2014 in DE
Enrollment address
10550 W McDowell Rd
Avondale, AZ 85392-4864
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Copper Springs East- GilbertCCN 034032 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Copper Springs Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

NameRoleSinceShare
Martin F. Mann Individual Corporate OfficerSVP, Strategic Development Feb 7, 2023
Lifepoint Behavioral Health, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Nicoletta B Tessler Individual Corporate OfficerPresident Aug 4, 2025
Jessica Black Individual W-2 Managing EmployeeCeo Dec 1, 2018
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Christopher J Jagoditz Individual Corporate OfficerChief Financial Officer Oct 20, 2025
Springstone Health Opco, LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Jan 22, 2016 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Marcus B Poppell Individual OtherSVP, Reimbursement Feb 7, 2023
Charlotte E Lawrence Individual Corporate OfficerSecretary Feb 7, 2023
Elliott Brown Individual Corporate OfficerSVP & Treasurer Apr 2, 2026
LPNT Autumn Holdco, LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Christopher J Monte Individual Corporate OfficerVice President Feb 7, 2023
Lifepoint Behavioral Health Services, LLC Organization, Brentwood, TN LLC, Management services company, For-profit Operational/Managerial Control Feb 7, 2023
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 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.

View all 70

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.

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.

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

Verify at the official NPI Registry.