Provider Demographics
NPI:1811267792
Name:CYPRESS HOME CARE, INC.
Entity type:Organization
Organization Name:CYPRESS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:CHIODI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-485-6100
Mailing Address - Street 1:808 W LAKE LANSING RD STE 203
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6301
Mailing Address - Country:US
Mailing Address - Phone:517-485-6100
Mailing Address - Fax:517-485-6300
Practice Address - Street 1:808 W LAKE LANSING RD STE 203
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6301
Practice Address - Country:US
Practice Address - Phone:517-485-6100
Practice Address - Fax:517-485-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health