Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Cypress Creek Residential Care LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairdealing, MO · enumerated 2007 · authorized official Traci Wagner, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366564676

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Registry record

Entity type Organization (Type 2)

Legal business name Cypress Creek Residential Care LLC

Practice address 546 Ripley Bb-1, Fairdealing, MO, 63939

Phone (573) 351-1221

Enumeration date Apr 6, 2007

Last updated in NPPES Oct 17, 2024

Taxonomy & classification

251C00000X Developmentally Disabled Services Day Training Agency Agencies Secondary

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

385H00000X Respite Care Respite Care Facility Secondary

Authorized official

Name Traci Wagner

Title Owner

Phone (573) 351-1221

Other identifiers

Identifier	Type	State	Issuer
853295210	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Cypress Creek Residential Care LLC?

Cypress Creek Residential Care LLC is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-17.