Cypresswood Memory Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

104657 Issued in TX

Legal business name

CYPRESSWOOD MEMORY CARE, LLC

Doing business as

Autumn Leaves of Cypresswood

Practice address

6327 Cypresswood Dr
Spring, TX 77379-8208

Phone

(281) 374-1750

Fax

(281) 374-1751

NPI assigned

Feb 20, 2012

Last updated

Feb 20, 2012By 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

Mr. Chad Anderson

Title

President

Phone

(214) 845-4500

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of Cypresswood Doing business as

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1447523683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "address_2": "SUITE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-845-4500",
            "fax_number": "214-845-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 CYPRESSWOOD DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798208",
            "telephone_number": "281-374-1750",
            "fax_number": "281-374-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESSWOOD MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-845-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "104657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Cypresswood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cypresswood Family Dental, P.a.
• Cypresswood Medical Laboratory LLC
• Cypresswood Pharmacy
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• Alyssa Cyrwus
• D. Hollins Counseling Services
• Jo-Sylln D'Orsogna

• Assisted Living Facility in Spring, TX
• Providers in Spring, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.