Provider Demographics
NPI:1801676523
Name:CYPRESS SENIOR LIVING LLC
Entity type:Organization
Organization Name:CYPRESS SENIOR LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TANVEER
Authorized Official - Middle Name:
Authorized Official - Last Name:MIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-633-8879
Mailing Address - Street 1:8731 BIRCH SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2059
Mailing Address - Country:US
Mailing Address - Phone:561-633-8879
Mailing Address - Fax:
Practice Address - Street 1:8731 BIRCH SPRINGS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2059
Practice Address - Country:US
Practice Address - Phone:561-633-8879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home