Park Manor of Cypress Station – Skilled Nursing Facility, NPI 1790767002

Park Manor of Cypress Station is a healthcare provider. based in The woodlands, Texas. specializing in Skilled Nursing Facility. The organization holds a License No. 111562 (TX). The NPI Number for Park Manor of Cypress Station is 1790767002

Main info

Organization
Name
Park Manor of Cypress Station
NPI
1790767002
Phone
(281) 419-5520
Address
1780 HUGHES LANDING BLVD STE 500
Authorized Official
MR. LAURENCE C. DASPIT MANAGER
Enumeration Date
14 November 2005
Last Update Date
14 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Park Manor of Cypress Station

  • Hughes Landing Boulevard, Town Center, The Woodlands, Montgomery County, Texas, 77384-5317, United States

    THE WOODLANDS, TX 773804009

    Phone: (281) 419-5520

    Fax: (281) 419-5527

    Type: Mailing

  • Park Manor of Cypress Station, 420, Lantern Bend Drive, Houston, Harris County, Texas, 77090, United States

    HOUSTON, TX 770902832

    Phone: (832) 249-6500

    Fax: (832) 249-6501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20170812000366OSkilled Nursing FacilityTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77380)

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Reviews

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Frequently asked questions

Can I use this page to confirm Park Manor of Cypress Station's NPI?
Yes. Park Manor of Cypress Station is listed with NPI 1790767002 in the public NPI dataset.
Does CMS list Park Manor of Cypress Station as active?
Yes — Park Manor of Cypress Station is active in the NPI listing used on this page.
What is Park Manor of Cypress Station best known for clinically?
Directory data describes Park Manor of Cypress Station with Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where should I expect Park Manor of Cypress Station on a map?
Expect The Woodlands, Texas as a primary anchor for Park Manor of Cypress Station unless the record lists multiple sites.
Is the information about Park Manor of Cypress Station up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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