Active NPI
Cumberland Health Care LLC
- Skilled Nursing Facility
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700095200 | Medicaid | MD |
Other names 1
- Allegany Health Nursing and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1991
- Medicare certification status
- Active
- Certified beds
- 153
- Chain
- Fundamental Healthcare
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0649878 | Allegany Health Nursing and Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Allegany Health Nur and Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- Cumberland, MD
- NPI 1881127223
Interoperability endpoints
- 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Maryland Long Term Care LLC | 5% Or Greater Direct Ownership Interest | Mar 18, 2016 | 100% |
| Murray Forman | 5% Or Greater Indirect Ownership Interest | Mar 28, 2006 | 100% |
| Debra Kay Buckalew | Corporate Officer | Jan 2, 2017 | |
| W-2 Managing Employee | Jan 2, 2017 | ||
| Thi of Baltimore, Inc. | 5% Or Greater Indirect Ownership Interest | Mar 18, 2016 | 100% |
| Hunt Valley Holdings 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.
-
- Skilled Nursing Facility
- Berlin, MD
- NPI 1861947913
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- Catonsville, MD
- NPI 1508316126
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- Crownsville, MD
- NPI 1649725797
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- Cumberland, MD
- NPI 1194270256
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- Frederick, MD
- NPI 1366997421
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- Hagerstown, MD
- NPI 1780139840
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- Mitchellville, MD
- NPI 1508311663
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- Oakland, MD
- NPI 1447705595
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- Westernport, MD
- NPI 1770038838
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Skilled Nursing Facility
- White Plains, MD
- NPI 1518412675
Hunt Valley Holdings LLC, Maryland Long Term Care LLC, Thi of Baltimore, Inc.
-
- Psychiatric Hospital
- Albuquerque, NM
- NPI 1427330679
Hunt Valley Holdings LLC
-
- Skilled Nursing Facility
- Bennettsville, SC
- NPI 1770285710
Hunt Valley Holdings LLC, Thi of Baltimore, Inc.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1093886657
-
- Emergency Medicine Physician
- Clearfield, PA
- NPI 1508972308
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
- Cumberland Cardiovascular Assoc 3
- Cumberland Covenant House LLC
- Cumberland Emergency Medical Group PA
- Cumberland Emergency Medical Group, PA
- Cumberland HC Operations LLC
- Cumberland Health Care LLC
- Cumberland Hearing Center, Inc.
- Cumberland Manor Health Care LLC
- Cumberland Manor Health Care LLC
- Cumberland Nephrology & Internal Medicine P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.