Organization Active NPI

Roswell Cypress LLC

  • Skilled Nursing Facility
  • Roswell, GA
National Provider Identifier
1609297670
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROSWELL CYPRESS LLC
Practice address
1109 Green St
Roswell, GA 30075
Phone
(770) 998-1802
NPI assigned
Dec 18, 2013
Organization subpart
Yes
Parent organization
CYPRESS SKILLED NURSING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Isaac Ovits
Title
Cfo
Phone
(845) 694-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1109 Green St
Roswell, GA 30075

Mailing address

1109 Green St
Roswell, GA 30075-3609
Phone (770) 998-1802

Other identifiers 1

IdentifierTypeStateIssuer
115422OtherGAMEDICARE OSCAR

Other names 1

  • Roswell Nursing & Rehab Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1609297670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 GREEN ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753609",
            "telephone_number": "770-998-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GREEN ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "770-998-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL CYPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CYPRESS SKILLED NURSING LLC",
        "enumeration_date": "2013-12-18",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "OVITS",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-694-6055"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "115422",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roswell Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.