Active NPI
Cumberland Vital Care, LLC
- Durable Medical Equipment & Medical Supplies
- Crossville, TN
National Provider Identifier
1114943776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3030
- Legal business name
- CUMBERLAND VITAL CARE, LLC
- Doing business as
- Cumberland Vital Care
- Practice address
- 336 S Main St
Crossville, TN 38555-4838 - Phone
- (931) 456-0680
- Fax
- (931) 456-4857
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Armes
- Title
- Manager
- Phone
- (931) 456-0680
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3030 | TN | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 3030 | TN | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 3030 | TN | |
| Pharmacy | 333600000X | 3030 | TN | |
| Community/Retail Pharmacy | 3336C0003X | 3030 | TN | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 3030 | TN | |
| Long Term Care Pharmacy | 3336L0003X | 3030 | TN | |
| Mail Order Pharmacy | 3336M0002X | 3030 | TN | |
| Specialty Pharmacy | 3336S0011X | 3030 | TN |
Addresses
Primary practice location
336 S Main St
Crossville, TN 38555-4838
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3010673 | Other | TN | BCBS HIT |
| 1452069 | Medicaid | TN | |
| 812561 | Other | TN | BLACKLUNG |
| 3125118 | Other | TN | BCBS DME |
Other names 1
- Cumberland Vital Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1114943776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5047",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025047",
"telephone_number": "800-447-4095",
"fax_number": "601-482-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 S MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385554838",
"telephone_number": "931-456-0680",
"fax_number": "931-456-4857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND VITAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "ARMES",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "931-456-0680"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "3030",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "TN",
"license": "3030",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "TN",
"license": "3030",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HIT",
"identifier": "3010673",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1452069",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACKLUNG",
"identifier": "812561",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DME",
"identifier": "3125118",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cumberland Vital Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.