NPI: 1619335080 · WINNSBORO, TX 75494 · Assisted Living Facility · NPI assigned 02/01/2016
| Authorized Official | POWELL, LAWRENCE (PRESIDENT) |
| NPI Enumeration Date | 02/01/2016 |
Other providers sharing the same authorized official: POWELL, LAWRENCE
| Provider | City | State | Total Paid |
|---|---|---|---|
| CYPRESS PLACE RE 2015, LLC | JEFFERSON | TX | $232K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 177 | $32K |
| 2021 | 869 | $201K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 1,046 | 235 | $233K |