Healthcare Provider Details
I. General information
NPI: 1033868211
Provider Name (Legal Business Name): CYPRESS POINT REHABILITATION AND NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2022
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5580 DANIEL SMITH RD
VIRGINIA BEACH VA
23462-1104
US
IV. Provider business mailing address
5580 DANIEL SMITH RD
VIRGINIA BEACH VA
23462-1104
US
V. Phone/Fax
- Phone: 757-499-7029
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AKIVA
SHAPIRO
Title or Position: COO
Credential:
Phone: 201-581-6622