Organization Active NPI

Cumberland Health Care LLC

  • Skilled Nursing Facility
  • Cumberland, MD
National Provider Identifier
1780139816
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CUMBERLAND HEALTH CARE LLC
Practice address
730 Furnace St
Cumberland, MD 21502-1564
Phone
(301) 777-5941
Fax
(301) 777-2300
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Debra Buckalew
Title
President
Phone
(301) 777-5941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MD Primary

Addresses

Primary practice location

730 Furnace St
Cumberland, MD 21502-1564

Mailing address

730 Furnace St
Cumberland, MD 21502-1564
Phone (301) 777-5941

Other identifiers 1

IdentifierTypeStateIssuer
700095200MedicaidMD

Other names 1

  • Allegany Health Nursing and Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170216001177 MD Part A Provider - Skilled Nursing Facility 5991088916 Practice locations: Cumberland, MD

Skilled nursing facility certification: CCN 215230

Legal name
CUMBERLAND HEALTH CARE LLC
Doing business as
ALLEGANY HEALTH NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1991
Last certification
Jan 24, 2025
Beds
153
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
730 Furnace St
Cumberland, MD 21502-1564
Nursing home name
ALLEGANY HEALTH NURSING AND REHAB
Affiliated entity
FUNDAMENTAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Allegany Health Nursing and RehabCCN 215230
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
153115.1 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
2Fines totaling $18,636

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0649878Allegany Health Nursing and Rehabilitation730 Furnace Street, Cumberland, MD 21502Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Allegany Health Nur and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16857/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maryland Long Term Care LLC Organization, Sparks, MD LLC 5% Or Greater Direct Ownership Interest Mar 18, 2016 100%
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%
Debra Kay Buckalew Individual Corporate OfficerPresident Jan 2, 2017
W-2 Managing EmployeeAdministrator/President Jan 2, 2017
Thi of Baltimore, Inc. Organization, Sparks, MD Corporation 5% Or Greater Indirect Ownership Interest Mar 18, 2016 100%
Hunt Valley Holdings LLC Organization, Sparks, MD LLC 5% Or Greater Indirect Ownership Interest Feb 9, 2010 100%

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1780139816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 FURNACE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021564",
            "telephone_number": "301-777-5941",
            "fax_number": "301-777-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 FURNACE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021564",
            "telephone_number": "301-777-5941",
            "fax_number": "301-777-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "BUCKALEW",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-777-5941"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700095200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegany Health Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.