Organization Active NPI

Cypress Place Adult Family Home LLC

  • Registered Nurse
  • Spokane Valley, WA
National Provider Identifier
1205767944
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
CYPRESS PLACE ADULT FAMILY HOME LLC
Practice address
11506 E 13TH LN
Spokane Valley, WA 99206-1500
Phone
(281) 650-2280
NPI assigned
May 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Angelius Njagi, RN
Title
Owner
Phone
(281) 650-2280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

11506 E 13TH LN
Spokane Valley, WA 99206-1500

Mailing address

11506 E 13TH LN
Spokane Valley, WA 99206-1500
Phone (281) 650-2280

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2341222Cypress Place Adult Family Home11506 E 13TH Lane, Spokane, WA 99206Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1205767944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 E 13TH LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992061500",
            "telephone_number": "281-650-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11506 E 13TH LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992061500",
            "telephone_number": "281-650-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS PLACE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "NJAGI",
        "authorized_official_first_name": "ANGELIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-650-2280",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.