Cypress Creek Assisted Living Residence Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9553 Issued in FL

Legal business name

CYPRESS CREEK ASSISTED LIVING RESIDENCE INC

Practice address

970 Cypress Village Blvd
Ruskin, FL 33573-6830

Phone

(813) 633-7777

NPI assigned

Sep 27, 2013

Last updated

Sep 27, 2013By 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

James Biggins

Title

President

Phone

(813) 633-7777

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1811324478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736830",
            "telephone_number": "813-633-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736830",
            "telephone_number": "813-633-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK ASSISTED LIVING RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "BIGGINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-633-7777"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9553",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL9553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Crawford
• Vanity Crumby
• Catherine Ivette Cruz
• Cup Chronicles Transportation Services, LLC.
• Ferdonia Cusseaux, RN
• Ronnisha R Darby
• Indrani Datta, M.D., M.P.H.
• David E Marshall Enterprises Inc (Marshall Group Home)
• Dolores Davis-Levy, MEDICAL ASSISTANT
• Jahquavis J Davis

• Assisted Living Facility in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.