# CYPRESS HEALTH CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Athens Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063655272
- **Authorized official:** MR. EMERY R. FISHER (PRES.)
- **Authorized official phone:** (512) 288-9119

## Contact information

- **Practice address:** 305 S PALESTINE ST, ATHENS, TX 75751-2509
- **Practice address phone:** (903) 675-2046
- **Practice address fax:** (903) 675-2471
- **Mailing address:** 13110 W HWY 290 STE 103, AUSTIN, TX 78737-8500
- **Mailing address phone:** (512) 288-9123
- **Mailing address fax:** (512) 288-9120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 001-0170-22 | TX | Yes |

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 09/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4009 | — | TX |
| 01 | — | 67-5264 | MEDICARE PTAN | — |