Cumberland Village Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CUMBERLAND VILLAGE ASSISTED LIVING, LLC

Practice address

1124 Cedar Creek Rd
Fayetteville, NC 28312-6544

Phone

(910) 323-8212

NPI assigned

May 24, 2013

Organization subpart

No

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

Authorized official

Name

David Dean Wilson

Title

Managing Partner

Phone

(336) 495-2700

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1669819157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273170814",
            "telephone_number": "336-495-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 CEDAR CREEK RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283126544",
            "telephone_number": "910-323-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND VILLAGE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "336-495-2700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cumberland Residential & Employment Services & Training
• Cumberland Residential & Employment Services & Training
• Cumberland Residential & Employment Services & Training
• Cumberland Residential & Employment Services & Training
• Cumberland Residential & Employment Services& Training
• Anna Elicia Cumbo, DPT
• Hannah Cummings
• Zangoneel Cunningham Scarlett
• Jakinna Cunningham
• Kayla Marie Cunningham, DDS

• Assisted Living Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.