Organization Active NPI

Cypress Creek Alf Inc

  • Assisted Living Facility
  • Severna Park, MD
National Provider Identifier
1821838673
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CYPRESS CREEK ALF INC
Practice address
831 Ritchie Hwy # a
Severna Park, MD 21146-4166
Phone
(410) 975-5134
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Mrs. Adeleye Harding, RN
Title
Manager
Phone
(301) 792-6385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

831 Ritchie Hwy # a
Severna Park, MD 21146-4166

Mailing address

831 Ritchie Hwy # a
Severna Park, MD 21146-4166
Phone (410) 975-5134

Other names 1

  • CYPRESS CREEK ALF INC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1821838673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 RITCHIE HWY # A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464166",
            "telephone_number": "410-975-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 RITCHIE HWY # A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464166",
            "telephone_number": "410-975-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "ADELEYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-792-6385",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYPRESS CREEK ALF INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.