Activcare at Turtle Creek LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

112061 Issued in TX

Legal business name

ACTIVCARE AT TURTLE CREEK LP

Doing business as

Ashley Court at Turtle Creek

Practice address

3611 Dickason Ave
Dallas, TX 75219-4912

Phone

(858) 565-4424

Fax

(858) 565-2428

NPI assigned

Sep 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pat Wilson

Title

Manager

Phone

(858) 565-4424

Specialties & licenses 1

Addresses

Other names 1

• Ashley Court at Turtle Creek Doing business as

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598861130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9619 CHESAPEAKE DR",
            "address_2": "SUITE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231368",
            "telephone_number": "858-565-4424",
            "fax_number": "858-565-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 DICKASON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194912",
            "telephone_number": "858-565-4424",
            "fax_number": "858-565-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVCARE AT TURTLE CREEK LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-565-4424"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "112061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Court at Turtle Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.