MEDICARE: CYPRESSCARE LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	126272	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437316346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYPRESSCARE LP

Provider Business Mailing Address
First Line	:	9602 HUFFMEISTER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2895
Country	:	US
Telephone Number	:	281-463-9001
Fax Number	:	281-463-9002

Provider Business Practice Location Address
First Line	:	9602 HUFFMEISTER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2895
Country	:	US
Telephone Number	:	281-463-9001
Fax Number	:	281-463-9002

Authorized Official
Title or Position	:	LIMITED PARTNER
Name	:	MR. JAKE HALLSTED
Credential	:
Telephone Number	:	832-448-3700

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	05/06/2009

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Directions to “CYPRESSCARE LP ” Practice Location

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