Provider Demographics
NPI:1164022505
Name:CYPRESS HOSPICE & PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:CYPRESS HOSPICE & PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:832-542-1554
Mailing Address - Street 1:14405 WALTERS RD STE 614
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1562
Mailing Address - Country:US
Mailing Address - Phone:832-542-1554
Mailing Address - Fax:
Practice Address - Street 1:14405 WALTERS RD STE 614
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1562
Practice Address - Country:US
Practice Address - Phone:832-542-1554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based