NPIMap

Organization Active NPI

Cumberland Mountain Community

Doing business as Mountainview ICF

  • Intellectual Disabilities Intermediate Care Facility
  • Keen Mountain, VA
National Provider Identifier
1396886784
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
09301001 Issued in VA
Legal business name
CUMBERLAND MOUNTAIN COMMUNITY
Doing business as
Mountainview ICF
Practice address
Route 680
Keen Mountain, VA 24624
Phone
(276) 498-7900
Fax
(276) 498-1958
NPI assigned
Feb 9, 2007
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNTAINVIEW ICFAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Mary F Cole, LCSW
Title
Mental Retardation Director
Phone
(276) 964-6702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 09301001 VA Primary

Addresses

Primary practice location

Route 680
Keen Mountain, VA 24624

Mailing address

PO Box 810
Cedar Bluff, VA 24609
Phone (279) 964-6702

Other names 1

  • Mountainview ICF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Mountain Com3 organizations share this tax ID, including this one
Part of
Cumberland Mountain Com

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1396886784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "24609",
            "telephone_number": "279-964-6702",
            "fax_number": "276-964-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 680",
            "city": "KEEN MOUNTAIN",
            "state": "VA",
            "postal_code": "24624",
            "telephone_number": "276-498-7900",
            "fax_number": "276-498-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND MOUNTAIN COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAINVIEW ICF",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MENTAL RETARDATION DIRECTOR",
        "authorized_official_telephone_number": "276-964-6702",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "VA",
            "license": "09301001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountainview ICF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keen Mountain, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.