Ahcs 3, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

117842 Issued in TX

Legal business name

AHCS 3, LP

Doing business as

Copper Creek Plaza

Practice address

302 Pearlstone Street
Buffalo, TX 75831

Phone

(903) 322-4208

Fax

(903) 322-3874

NPI assigned

Dec 13, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

AMICUS HEALTH CARE SERVICES 2, INCAs reported in NPPES

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

Authorized official

Name

Mr. Alan D Peterson, LNFA

Title

President

Phone

(817) 919-7495

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Copper Creek Plaza Doing business as

Part of

Amicus Health Care Services Inc

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1891978847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PEARLSTONE STREET",
            "city": "BUFFALO",
            "state": "TX",
            "postal_code": "75831",
            "telephone_number": "903-322-4208",
            "fax_number": "903-322-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PEARLSTONE STREET",
            "city": "BUFFALO",
            "state": "TX",
            "postal_code": "75831",
            "telephone_number": "903-322-4208",
            "fax_number": "903-322-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHCS 3, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMICUS HEALTH CARE SERVICES 2, INC",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-919-7495",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "117842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004916",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Creek Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Buffalo, TX
• Providers in Buffalo, 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 Dec 17, 2007; 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.