Organization Active NPI

Safe Space Cumberland Inc

  • Case Management Agency
  • Cumberland, MD
National Provider Identifier
1649078460
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Mar 6, 2025

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.