CYPRESS PLACE ASSISTED LIVING
NPI 1790150308
Assisted Living Facility in Jefferson, TX
About Cypress Place Assisted Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYPRESS PLACE ASSISTED LIVING (NPI 1790150308) is a healthcare organization registered as an assisted living facility in Jefferson, Texas and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through August 6, 2028 and lists Lawrence Wayne Powell, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 45D2195042
Cypress Place Assisted Living · Jefferson, TXOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Re 2015, LLC's NPI number?
The NPI number for Cypress Place Re 2015, LLC is 1790150308. It was assigned to this organization in the NPPES registry on December 8, 2015. The provider is doing business as Cypress Place Assisted Living.
Where is Cypress Place Re 2015, LLC located?
Cypress Place Re 2015, LLC is located at 100 W Douglas St, Jefferson, TX 75657. The listed phone number is (903) 665-9855.
What is Cypress Place Re 2015, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Cypress Place Re 2015, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2195042) is associated with this NPI, valid through August 6, 2028. 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 Re 2015, LLC was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cypress Place Assisted Living · NPI 1790150308
Assisted Living Facility organization in Jefferson, Texas. Organization record, active in the CMS NPPES registry since December 8, 2015.
## Identity
- **NPI:** 1790150308 (Entity type: Organization)
- **Enumerated:** December 8, 2015
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Cypress Place Re 2015, Llc
- **Organization subpart:** No
- **Authorized official:** Lawrence Powell, PRESIDENT
## Practice location
- **Address:** 100 W DOUGLAS ST, Jefferson, TX 75657-1206
- **Phone:** (903) 665-9855
## Record status
- **NPPES last updated:** December 8, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790150308) · Data from the CMS NPPES public registry.