Cypress Inn Assisted Living Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CYPRESS INN ASSISTED LIVING CENTER

Practice address

757 E 12TH St
Douglas, AZ 85607-1934

Phone

(520) 364-7232

Fax

(520) 364-5322

NPI assigned

May 29, 2007

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

Emerita Aquino

Title

Executive Director-President

Phone

(520) 364-7232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063613016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 E 12TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071934",
            "telephone_number": "520-364-7232",
            "fax_number": "520-364-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E 12TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071934",
            "telephone_number": "520-364-7232",
            "fax_number": "520-364-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS INN ASSISTED LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "EMERITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR-PRESIDENT",
        "authorized_official_telephone_number": "520-364-7232"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "709719",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corazon Inc. (Corazon Integrated Healthcare Services)
• Corazon Inc. (Corazon Behavioral Health Service)
• Larry Corrales
• Suzanne Marie Crase, PHARMD, RPH
• Jessica Lynn Crewse, FNP
• Sara E Davidson, RN
• Lisa Irish Deese, D.M.D.
• Jose Samuel Delson
• Dialysis Clinic Inc.
• Bart Matthew Diaz, D.O.

• Adult Mental Health Clinic/Center in Douglas, AZ
• Providers in Douglas, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• 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.