CYPRESS PLACE RE 2015 LLC NPI 1790150308

NPI Information

  • NPI: 1790150308
  • Provider Name: CYPRESS PLACE RE 2015, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: CYPRESS PLACE ASSISTED LIVING
  • Address: 100 W DOUGLAS ST
    JEFFERSON, TX
    ZIP 75657
  • Phone: (903) 665-9855

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NPI Details

CYPRESS PLACE RE 2015, LLC is an assisted living facility in Jefferson, TX. The provider is 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. CYPRESS PLACE RE 2015, LLC NPI is 1790150308. The provider is registered as an organization entity type.
The provider Is Doing Business As Cypress Place Assisted Living.

The provider's business location address is:

100 W DOUGLAS ST
JEFFERSON, TX
ZIP 75657-206
Phone: (903) 665-9855

The provider's authorized official is Lawrence Wayne Powell .
The authorized official title is President and has the following contact phone number (817) 386-8888.

The enumeration date for this NPI number is 12/8/2015 and was last updated on 12/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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