Organization Active NPI

Countryhouse at Cumberland

  • Assisted Living Facility
  • Cumberland, MD
National Provider Identifier
1295620722
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
COUNTRYHOUSE AT CUMBERLAND
Practice address
15 Cumberland St
Cumberland, MD 21502-2034
Phone
(301) 777-8717
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Stacy Randels
Title
VP Asset Management
Phone
(531) 800-3364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

15 Cumberland St
Cumberland, MD 21502-2034

Mailing address

15 Cumberland St
Cumberland, MD 21502-2034
Phone (301) 777-8717

National Provider Directory

National Provider Directory

Locations

15 Cumberland St
Cumberland, MD 21502
Phone (301) 777-8717

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1295620722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CUMBERLAND ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022034",
            "telephone_number": "301-777-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CUMBERLAND ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022034",
            "telephone_number": "301-777-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYHOUSE AT CUMBERLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "RANDELS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "VP ASSET MANAGEMENT",
        "authorized_official_telephone_number": "531-800-3364"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.