Active NPI
Safe Space Cumberland Inc
- Case Management Agency
- Cumberland, MD
National Provider Identifier
1649078460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SAFE SPACE CUMBERLAND INC
- Practice address
- 1019 Virginia Ave
Cumberland, MD 21502-4638 - Phone
- (240) 609-8652
- NPI assigned
- Mar 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne B Wolters
- Title
- Director
- Phone
- (240) 609-8652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1019 Virginia Ave
Cumberland, MD 21502-4638
Mailing address
1019 Virginia Ave
Cumberland, MD 21502-4638
Phone (240) 609-8652
Other names 1
- Safe Space Cumberland Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741219200000",
"number": "1649078460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 VIRGINIA AVE",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215024638",
"telephone_number": "240-609-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 VIRGINIA AVE",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215024638",
"telephone_number": "240-609-8652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE SPACE CUMBERLAND INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A",
"authorized_official_last_name": "WOLTERS",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "240-609-8652"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Safe Space Cumberland Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Mar 6, 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.