NPIMap

Organization Active NPI

Cumberland Hospital, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1497125223
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
549-14-005 Issued in VA
Legal business name
CUMBERLAND HOSPITAL, LLC
Practice address
3627 Carolina Ave
Richmond, VA 23222-2910
Phone
(804) 228-3501
Fax
(804) 228-3504
NPI assigned
Oct 6, 2015
Organization subpart
Yes
Parent organization
CUMBERLAND HOSPITAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Mrs. Patrice Gay Brooks
Title
Ceo
Phone
(804) 966-2242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 549-14-005 VA Primary

Addresses

Primary practice location

3627 Carolina Ave
Richmond, VA 23222-2910

Mailing address

9407 Cumberland Rd
New Kent, VA 23124-2029
Phone (804) 966-2242

Other names 1

  • Cumberland Seger House Other name

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Hospital LLC3 organizations share this tax ID, including this one
Part of
Cumberland Hospital LLC

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": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1497125223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9407 CUMBERLAND RD",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231242029",
            "telephone_number": "804-966-2242",
            "fax_number": "804-966-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 CAROLINA AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222910",
            "telephone_number": "804-228-3501",
            "fax_number": "804-228-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND HOSPITAL, LLC",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-966-2242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "549-14-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Seger House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.