Organization Active NPI

Carolina Cumberland Operator LLC

  • Skilled Nursing Facility
  • Fayetteville, NC
National Provider Identifier
1114501459
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAROLINA CUMBERLAND OPERATOR LLC
Practice address
4600 Cumberland Rd
Fayetteville, NC 28306-2412
Phone
(910) 429-1690
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Maher
Title
Administrator
Phone
(910) 429-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4600 Cumberland Rd
Fayetteville, NC 28306-2412

Mailing address

4600 Cumberland Rd
Fayetteville, NC 28306-2412

Other names 1

  • Carolina Rehab Center of Cumberland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210823003273 NC Part A Provider - Skilled Nursing Facility 6901201383 Practice locations: Fayetteville, NC

Skilled nursing facility certification: CCN 345505

Legal name
CAROLINA CUMBERLAND OPERATOR LLC
Doing business as
CAROLINA REHABW CENTER OF CUMBERLAND
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 26, 2000
Last certification
Jul 2, 2025
Beds
136
Ownership / control type
Corporation
Multi-facility organization
Medical Facilities of America
Organization structure
LLCProprietary
Incorporated
Mar 23, 2021 in NV
Enrollment address
4600 Cumberland Rd
Fayetteville, NC 28306-2412
Nursing home name
CAROLINA REHAB CENTER OF CUMBERLAND
Affiliated entity
LIFEWORKS REHAB

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carolina Rehab Center of CumberlandCCN 345505
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 26, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
136131.0 residents per day on average
Chain
Lifeworks Rehab64 facilities in the chain
Penalties (3 years)
5Fines totaling $97,936

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

4600 Cumberland Rd
Fayetteville, NC 28306
Phone (910) 429-1690

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lauren 2020 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
Springrock South LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 75%
Norman 5571 & Family LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
RL 2008 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Charles 1994 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Lauren 2020 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Rsbrm South Manager LLC Organization, Lakewood, NJ LLC Operational/Managerial Control May 28, 2021 100%
Norman 5571 Family Grantor Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest May 28, 2021 21.37%
Norman 5571 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 22.49%
Saul 2012 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Leps 2003 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 10%
Cindy Maher Individual W-2 Managing EmployeeAdministrator May 28, 2021 100%
DRM South LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 25%
Carolina Cumberland Holdings LLC Organization, Lakewood, NJ Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 28, 2021 100%
Robin 2008 LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 23.75%
CK 2008 Family Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest May 28, 2021 5%
Edward 1998 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Robin 2008 Family Grantor Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest May 28, 2021 22.56%
Summer South LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest May 28, 2021 100%

Facilities with the same owner 37

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 37

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1114501459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 CUMBERLAND RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 CUMBERLAND RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062412",
            "telephone_number": "910-429-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CUMBERLAND OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-429-1690"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Rehab Center of Cumberland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.