Cumberland Ridge Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

H445619 Issued in TN

Legal business name

CUMBERLAND RIDGE ASSISTED LIVING FACILITY

Practice address

458 Wayne Ave
Suite 100
Crossville, TN 38555-9220

Phone

(931) 456-8666

Fax

(931) 456-2355

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Jinger Kaye Loggins, RN

Title

Executive Director

Phone

(931) 456-8688

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1437410107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 WAYNE AVE",
            "address_2": "SUITE 100",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385559220",
            "telephone_number": "931-456-8666",
            "fax_number": "931-456-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 WAYNE AVE",
            "address_2": "SUITE 100",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385559220",
            "telephone_number": "931-456-8666",
            "fax_number": "931-456-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND RIDGE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "LOGGINS",
        "authorized_official_first_name": "JINGER",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-456-8688",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "H445619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445619",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland Physician Group, LLC
• Cumberland Podiatric Surgeons Inc
• Cumberland Radiology Group PC
• Cumberland Rheumatology
• Cumberland Rheumatology PLLC
• Cumberland Special Care Pharmacy LLC
• Cumberland Special Care Pharmacy LLC
• Cumberland Vital Care, LLC
• Dale Cuva
• Casey Rowan Davidson, D.C.

• Assisted Living Facility in Crossville, TN
• Providers in Crossville, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.