MEDICARE: CYPRESS COURT OPCO, LLC

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1881546695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYPRESS COURT OPCO, LLC

Provider Business Mailing Address
First Line	:	1255 N BROADWAY
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-2863
Country	:	US
Telephone Number	:	760-747-1940
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 N BROADWAY
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-2863
Country	:	US
Telephone Number	:	760-747-1940
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TANIA DUPRE
Credential	:
Telephone Number	:	760-747-1940

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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