Capstone-Cypress Opco LLC
Organization Active NPI Assisted Living Facility · Jefferson, TX
NPI 1003481086 · NPPES record last updated May 23, 2021
Key facts
- NPI
- 1003481086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CAPSTONE-CYPRESS OPCO LLC
- Practice address
- 100 W Douglas St
Jefferson, TX 75657-1206 - Phone
- (903) 665-9855
- Fax
- (903) 665-6809
- NPI assigned
- May 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Matthew Moman
- Title
- President
- Phone
- (469) 712-6025
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
100 W Douglas St
Jefferson, TX 75657-1206
Mailing address
100 W Douglas St
Jefferson, TX 75657-1206
Phone (903) 665-9855
Other names
- Cypress Place
Other providers in Jefferson, TX
- Amiee Darlene Burks Elam
- Michelle Antoinette Burks
- Kimberly Michelle Burris
- Pauline Burton
- Haley Morgan Calzada
- James Leo Carroll
- Cynthia Cartwright
- Bridget Paulette Carver
- William Louis Castleman
- Cynthia Berniece Chappell
All providers in Jefferson, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.