CYPRESS PLACE ASSISTED LIVING
NPI 1790150308
Assisted Living Facility in Jefferson, TX

Active since December 08, 2015
100 W DOUGLAS ST, JEFFERSON, TX 75657(903) 665-9855 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 lists Lawrence Wayne Powell, President, as its authorized official.

NPPES Registry Identity

NPI1790150308
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCYPRESS PLACE RE 2015, LLC
Location Address100 W DOUGLAS STJefferson, TX 75657-1206
Mailing Address3973 W Vickery Blvd, Suite 101Fort Worth, TX 76107-6492
Organization SubpartNo
Authorized OfficialLawrence Wayne PowellPresident · (817) 386-8888
Enumeration DateDecember 8, 2015
NPI 1790150308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
100 W DOUGLAS ST, Jefferson, TX 75657

Other Names 1

Doing Business AsCypress Place Assisted Living

Other Providers at the Same Location NPPES 3

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

Assisted Living Facility
100 W DOUGLAS ST
JEFFERSON, TX 75657
Assisted Living Facility
100 W DOUGLAS ST
JEFFERSON, TX 75657
Assisted Living Facility
100 W DOUGLAS ST
JEFFERSON, TX 75657

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.

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.