Cumberland Valley Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100471 Issued in KY

Legal business name

CUMBERLAND VALLEY MANOR, INC.

Practice address

301 S Main St
Burkesville, KY 42717-9625

Phone

(270) 864-4315

Fax

(270) 864-3721

NPI assigned

Jun 16, 2005

Last updated

Jan 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Shepard

Title

Administrator

Phone

(270) 864-4315

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1306841200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427170438",
            "telephone_number": "270-864-4315",
            "fax_number": "270-864-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427179625",
            "telephone_number": "270-864-4315",
            "fax_number": "270-864-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND VALLEY MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "270-864-4315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501607",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland Family Medical Center Inc (Cumberland County Middle Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Cumberland Family Medical Center)
• Cumberland Family Medical Center Inc (Cumberland County High Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Wellness on Wheels)
• Cumberland Ky Opco LLC
• Shelby L Daffron, LCSW
• Dale Hollow Chiropractic PSC
• Misty P Davidson
• Virginia M Dunlap, DMD
• Lauren Dyer-Hurt, MD

• Skilled Nursing Facility in Burkesville, KY
• Providers in Burkesville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.