COPPER CREEK NURSING & REHAB, INC (NPI# 1730151341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730151341 |
Entity Type | Organization |
Organization Name | COPPER CREEK NURSING & REHAB, INC |
Practice Address |
302 Pearlstone Drawer M Buffalo TX 75831 |
Mailing Address |
Po Box 155635 Fort Worth TX 76155-0635 |
Practice Telephone | 9033224208 |
Practice Fax Number | 9033223874 |
Mailing Telephone | 8173592000 |
Mailing Fax Number | 8173592093 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GARY R TREBERT (CEO) |
Authorized Official Telephone | 8173592000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Street Address |
302 PEARLSTONE DRAWER M |
City | BUFFALO |
State | TX |
Zip Code | 75831 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447599063 | Candice R Ashley | Counselor | 2737 West Commerce Route 3, Buffalo, TX 75831 | 2013-02-01 |
1639464324 | Buffalo Vista Urgent Family Care, Pllc | Clinic/Center | 1045 E Railroad, Buffalo, TX 75831 | 2011-06-10 |
1891978847 | Ahcs 3, Lp | Skilled Nursing Facility | 302 Pearlstone Street, Buffalo, TX 75831 | 2007-12-13 |
1710001789 | Sue J. Allen | Durable Medical Equipment & Medical Supplies | 303 Commerce St, Buffalo, TX 75831 | 2007-03-16 |
1467552802 | Brookshire Brothers Inc | Pharmacy | 1220 W Commerce, Buffalo, TX 75831 | 2006-09-25 |
1508877267 | Nicole Lee Kroll | Nurse Practitioner | 1686 Hwy 79 West, Buffalo, TX 75831 | 2006-08-10 |
1609872936 | Monica Lynn Holladay | Chiropractor | 713 Hwy 79 W, Buffalo, TX 75831 | 2005-06-22 |
1801031067 | Mona Jill Ferguson | Nurse Practitioner | 1686 Hwy 79 West, Buffalo, TX 75831 | 2008-12-02 |
1669650115 | Sue Johnson Allen | Durable Medical Equipment & Medical Supplies | 303 Commerce St, Buffalo, TX 75831 | 2008-02-07 |
1649335100 | Aguirre Family Care Clinic | Clinic/Center | 1686 Hwy 79 West, Buffalo, TX 75831 | 2006-12-26 |
Find all providers in zip 75831 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932408747 | Drnc LLC | Skilled Nursing Facility | 1014 Delaware Ave, Buffalo, NY 14209-1606 | 2011-03-18 |
1891978847 | Ahcs 3, Lp | Skilled Nursing Facility | 302 Pearlstone Street, Buffalo, TX 75831 | 2007-12-13 |
1689873721 | Amak Health Care Agency,inc. | Skilled Nursing Facility | 3258 Main St, Buffalo, NY 14214-1334 | 2007-07-17 |
1093865388 | Grace Manor Health Care Facility Inc. | Skilled Nursing Facility | 10 Symphony Cir, Buffalo, NY 14201-1339 | 2007-01-11 |
1821182270 | Western Nursing Home LLC | Skilled Nursing Facility | 111 Walnut Dr, Buffalo, OK 73834 | 2006-10-02 |
1952402372 | Btnh Inc | Skilled Nursing Facility | 1014 Delaware Avenue, Buffalo, NY 14209-1606 | 2006-09-26 |
1255438966 | Ridge View Manor LLC | Skilled Nursing Facility | 300 Dorrance Ave, Buffalo, NY 14220-2704 | 2006-09-17 |
1376580233 | Kaleida Health | Skilled Nursing Facility | 1031 Michigan Avenue, Buffalo, NY 14203-1019 | 2006-06-01 |
1639116791 | Presbyterian Senior Care of Western New York, Inc. | Skilled Nursing Facility | 1205 Delaware Ave, Buffalo, NY 14209-1401 | 2006-05-31 |
1528015682 | Presbyterian Senior Care of Western New York, Inc. | Skilled Nursing Facility | 1175 Delaware Ave, Buffalo, NY 14209-1401 | 2006-05-27 |
Find all providers in BUFFALO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.