CYPRESS CREEK LLC NPI 1881713212

NPI Information

  • NPI: 1881713212
  • Provider Name: CYPRESS CREEK, LLC
  • Classification: Respite Care - 385H00000X
  • Entity Type: Organization
  • Address: HC 1 BOX 313
    FAIRDEALING, MO
    ZIP 63939
  • Phone: (573) 351-1221

Map and Directions

Get Directions

NPI Details

CYPRESS CREEK, LLC is a respite care in Fairdealing, MO. CYPRESS CREEK, LLC NPI is 1881713212. The provider is registered as an organization entity type.

The provider's business location address is:

HC 1 BOX 313
FAIRDEALING, MO
ZIP 63939-710
Phone: (573) 351-1221

The provider's authorized official is Traci Wagner .
The authorized official title is Owner and has the following contact phone number (573) 351-1221.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 9/11/2025.

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
1251C00000XDay Training, Developmentally Disabled ServicesMISSOURINo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMISSOURINo
4385H00000XRespite CareMISSOURIYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.