Organization Active NPI

Cypress Health Care Inc.

Doing business as Athens Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Athens, TX
National Provider Identifier
1063655272
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
001-0170-22 Issued in TX
Legal business name
CYPRESS HEALTH CARE INC.
Doing business as
Athens Healthcare and Rehabilitation Center
Practice address
305 S Palestine St
Athens, TX 75751-2509
Phone
(903) 675-2046
Fax
(903) 675-2471
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Mr. Emery R. Fisher
Title
Pres.
Phone
(512) 288-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 001-0170-22 TX Primary

Addresses

Primary practice location

305 S Palestine St
Athens, TX 75751-2509

Mailing address

13110 W Hwy 290 Ste 103
Austin, TX 78737-8500
Phone (512) 288-9123

Other identifiers 2

IdentifierTypeStateIssuer
67-5264OtherMEDICARE PTAN
4009MedicaidTX

Other names 1

  • Athens Healthcare and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

305 S Palestine St
Athens, TX 75751
Phone (903) 675-2046

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1063655272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 W HWY 290 STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787378500",
            "telephone_number": "512-288-9123",
            "fax_number": "512-288-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512509",
            "telephone_number": "903-675-2046",
            "fax_number": "903-675-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "EMERY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "512-288-9119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "001-0170-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "67-5264",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4009",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.