CYPRESS PLACE LIVING CENTER LLC NPI 1215019195

NPI Information

NPI: 1215019195
Provider Name: CYPRESS PLACE LIVING CENTER, LLC

Former Legal Business Name: ADKINS, LP DBA CYPRESS PLACE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
204 E 1ST ST
WETUMKA, OK
ZIP 74883
Phone: (405) 452-3271
Get Directions

CYPRESS PLACE LIVING CENTER, LLC is an intermediate care facility mentally retarded in Wetumka, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CYPRESS PLACE LIVING CENTER, LLC NPI is 1215019195. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Adkins, Lp Dba Cypress Place.

The provider's business location address is:

204 E 1ST ST
WETUMKA, OK
ZIP 74883-041
Phone: (405) 452-3271
Fax: (405) 452-5154

The provider's authorized official is Donna R Simmons .
The authorized official title is Office Manager and has the following contact phone number (405) 786-2266.

The CLIA number assigned to this NPI record is 37D1035875 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		NH3212-3212	OKLAHOMA	Yes

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: 5/5/2024

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.

« Previous NPI

Next NPI »