Cypress Place Assisted Living
Organization Active NPI Assisted Living Facility · Jefferson, TX
NPI 1992887657 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1992887657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 117430 (TX)
- Legal business name
- CYPRESS PLACE ASSISTED LIVING
- Practice address
- 100 W Douglas St
Jefferson, TX 75657-1206 - Phone
- (903) 665-9855
- Fax
- (903) 665-6806
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Julius E Cox
- Title
- Administrator
- Phone
- (903) 665-9855
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Cypress Place Assisted Living
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 117430 | TX | Yes |
Addresses
Primary practice location
100 W Douglas St
Jefferson, TX 75657-1206
Mailing address
100 W Douglas St
Jefferson, TX 75657-1206
Phone (903) 665-9855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001000877 | Medicaid | TX |
Other providers in Jefferson, TX
- Billie Lorraine Coleman
- Haley Michelle Collard
- Core Health Systems
- Ellen Jeanette Coverdell
- Jessica Yvette Crockett
- Cypress Place Re 2015, LLC
- Lisa Marie Daniel
- Brett Andrew Darragh
- Rose Devine Davis
- Edna M Dixon
All providers in Jefferson, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.