Provider Demographics
NPI:1326107293
Name:CYPRESS STAFFING SERVICES, LLC
Entity Type:Organization
Organization Name:CYPRESS STAFFING SERVICES, LLC
Other - Org Name:CYPRESS HOMECARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-264-8009
Mailing Address - Street 1:14301 N 87TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3688
Mailing Address - Country:US
Mailing Address - Phone:602-264-8009
Mailing Address - Fax:602-926-2772
Practice Address - Street 1:14301 N 87TH ST STE 201
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3688
Practice Address - Country:US
Practice Address - Phone:602-264-8009
Practice Address - Fax:602-926-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ552770Medicaid