Lifehouse Cypress Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PENDING APPROVAL Issued in CA

Legal business name

LIFEHOUSE CYPRESS OPERATIONS, LLC

Practice address

1633 Cypress LN
Paradise, CA 95969-2823

Phone

(530) 877-9316

NPI assigned

Nov 29, 2007

Organization subpart

Yes

Parent organization

LIFEHOUSE HEALTH SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Tracy Clark

Title

Cfo

Phone

(310) 337-1929

Specialties & licenses 1

Addresses

Other names 1

• Cypress Healthcare Center Doing business as

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1306028527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE",
            "address_2": "SUITE 100",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307690",
            "telephone_number": "310-337-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 CYPRESS LN",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959692823",
            "telephone_number": "530-877-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOUSE CYPRESS OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEHOUSE HEALTH SERVICES, LLC",
        "enumeration_date": "2007-11-29",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-337-1929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "PENDING APPROVAL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suk Chun Lee, M.D.
• Chester Lembcke
• Thomas Walter Lerossignol
• Jeffrey Atkisson Lester
• Janet Liang, PHARMD
• Michael Jackson Little, MD
• Sean Lo, PHARM D
• Keri Marie Lockard
• Michael Evan Lockwood, MD
• James Russell Logan, M.D.

• Skilled Nursing Facility in Paradise, CA
• Providers in Paradise, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.