Cumberland River Homes, Inc

Key facts

NPI: 1275701088
Entity type: Organization (NPI type 2)
Primary specialty: Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name: CUMBERLAND RIVER HOMES, INC
Practice address: 111 N Hayden Ave
Salem, KY 42078-8073
Phone: (270) 988-4913
Fax: (270) 988-3128
NPI assigned: Feb 14, 2008
Organization subpart: No

Authorized official

Name: Sandra G. Barnes
Title: President/Business Manager
Phone: (270) 988-4913

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Cumberland River Homes, Inc. Developmentally Disabled Services Day Training Agency · Salem, KY · NPI 1942334263

NPD tax ID

National Provider Directory

Tax ID family: Cumberland River Homes Inc (2 organizations share this tax ID)

Locations

111 N Hayden Ave
Salem, KY 42078
Phone (270) 988-4913

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Developmentally Disabled Services Day Training Agency	251C00000X			Yes

Addresses

Primary practice location

111 N Hayden Ave
Salem, KY 42078-8073

Mailing address

111 N Hayden Ave
Salem, KY 42078-8073
Phone (270) 988-4913

Other identifiers

Identifier	Type	State	Issuer
33001272	Medicaid	KY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 29, 2015.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1275701088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N HAYDEN AVE",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420788073",
            "telephone_number": "270-988-4913",
            "fax_number": "270-988-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HAYDEN AVE",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420788073",
            "telephone_number": "270-988-4913",
            "fax_number": "270-988-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND RIVER HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/BUSINESS MANAGER",
        "authorized_official_telephone_number": "270-988-4913"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33001272",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, KY

All providers in Salem, KY · Developmentally Disabled Services Day Training Agency in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.