CYPRESS PLACE LIVING CENTER, LLC
NPI 1215019195
Intermediate Care Facility, Intellectual Disabilities in Wetumka, OK

Active since October 19, 2006CLIA 37D1035875 · Waiver
204 E 1ST ST, WETUMKA, OK 74883(405) 452-3271(405) 452-5154 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cypress Place Living Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYPRESS PLACE LIVING CENTER, LLC (NPI 1215019195), doing business as Adkins, Lp Dba Cypress Place, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Wetumka, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Donna R Simmons, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215019195
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCYPRESS PLACE LIVING CENTER, LLC
Location Address204 E 1ST STWetumka, OK 74883-6041
Mailing AddressPo Box 488Weleetka, OK 74880-0488 · (405) 786-2266 · Fax (405) 786-2388
Fax(405) 452-5154
Organization SubpartNo
Authorized OfficialDonna R SimmonsOffice Manager · (405) 786-2266
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1215019195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in OK · NH3212-3212
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
204 E 1ST ST, Wetumka, OK 74883

Other Names 1

Former Legal Business NameAdkins, Lp Dba Cypress Place

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1035875

Cypress Place Living Center, LLC · Wetumka, OK
Active · expires Jan 12, 2027
CLIA Number37D1035875
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorCrystal S. Freeman
Laboratory Phone(405) 452-5358
Laboratory LocationCypress Place Living Center, LLC204 E 1st Street, Wetumka, OK 74883
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
204 E 1ST ST
WETUMKA, OK 74883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cypress Place Living Center, LLC's NPI number?

The NPI number for Cypress Place Living Center, LLC is 1215019195. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider was formerly known as Adkins, LP Dba Cypress Place.

Where is Cypress Place Living Center, LLC located?

Cypress Place Living Center, LLC is located at 204 E 1st St, Wetumka, OK 74883. The listed phone number is (405) 452-3271.

What is Cypress Place Living Center, LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Cypress Place Living Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1035875) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cypress Place Living Center, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.