OrganizationActive
Cypress Creek Residential Care LLC
NPI 1366564676 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fairdealing, MO
Provider details
- NPI number
- 1366564676
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Traci Wagner, Owner(573) 351-1221
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
- Respite Care385H00000X
Respite Care Facility
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
546 Ripley Bb-1
Fairdealing, MO 63939-8003
Phone: (573) 351-1221
Approximate (ZIP-level) locationGet directions
Mailing address
546 Ripley Bb-1
Fairdealing, MO 63939-8003
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.