Cumbernauld Village, Inc. – Skilled Nursing Facility

Key facts

NPI: 1821134263
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
License: N018009 (KS)
Legal business name: CUMBERNAULD VILLAGE, INC.
Practice address: 716 Tweed Ofc
Winfield, KS 67156-1596
Phone: (620) 221-4141
Fax: (620) 221-4146
NPI assigned: Jan 30, 2007
Organization subpart: No

Authorized official

Name: Bruce Blake
Title: President of the Board of Directors
Phone: (620) 221-6924

Practitioners 1

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

Linda Voth Skilled Nursing Facility · Winfield, KS · NPI 1164098505

NPD SKILLED NURSING FACILITY

Affiliated clinicians 6

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

Alvin D. Bird, D.O. General Practice Physician · Winfield, KS · NPI 1881621068

Care Compare affiliation Nursing home
Bryan K. Dennett, M.D. Family Medicine Physician · Winfield, KS · NPI 1770697526

Care Compare affiliation Nursing home
Daisy Ann Soriano Matias, MD Family Medicine Physician · Winfield, KS · NPI 1740481290

Care Compare affiliation Nursing home
Sapna Shah-Haque, MD Internal Medicine Physician · Winfield, KS · NPI 1881906592

Care Compare affiliation Nursing home
Laura Michelle Thielen, FNP-BC Family Nurse Practitioner · Winfield, KS · NPI 1588288245

Care Compare affiliation Nursing home
Treasure A Wehner, D.O. Family Medicine Physician · Winfield, KS · NPI 1740247584

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Cumbernauld Village CCN 175569
Overall star rating: ★★★★★ 5 of 5
Health inspections: ★★★★★ 5 of 5
Staffing: ★★★★★ 5 of 5
Quality measures: ★★★☆☆ 3 of 5
Type: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified: Dec 21, 2022
Medicare certification status: Active (Provider of Services file)
Certified beds: 42 · 31.5 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
17D0683579	Cumbernauld Village 716 North Tweed, Winfield, KS 67156	Certificate of waiver	Aug 31, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS

Skilled nursing facility certification: CCN 175569

Legal name: CUMBERNAULD VILLAGE, INC.
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Dec 21, 2022
Last certification: Jun 5, 2024
Beds: 60 (42 certified)
Ownership / control type: Nonprofit Corporation
Organization structure: Corporation · Non-profit
Enrollment address: 716 Tweed
Ofc Ofc
Winfield, KS 67156-1595
Nursing home name: CUMBERNAULD VILLAGE

All disclosed owners & managing parties 34

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
Individual	Adp of the SNF	Sep 1, 2021
Individual	Adp of the SNF	May 2, 2003
Rodger Steffen Individual	Corporate Director Board of Directors Member	Jan 1, 1994	100%
	Managing Control - Governing Body Board of Directors Member	Jan 1, 1994
	Adp of the SNF	Jan 1, 1994
Doug Teubner Individual	Corporate Director Board of Directors Member	Jan 1, 2007	100%
	Managing Control - Governing Body Board of Directors Member	Jan 1, 2007
	Adp of the SNF	Jan 1, 2007
Organization · Winfield, KS	Adp of the SNF	Jul 16, 2025
Individual	Adp of the SNF	Mar 1, 1995
Organization · Cimarron, KS	Adp of the SNF	Jul 8, 2025
Cumbernauld Village, Inc. Organization · Winfield, KS Created for acquisition, Corporation, Non-profit	5% Or Greater Direct Ownership Interest	Sep 25, 1987	100%
	Operational/Managerial Control	Sep 25, 1987	100%
	Adp of the SNF	Sep 25, 1987
Individual	Adp of the SNF	Apr 18, 2018
Individual	Adp of the SNF	Aug 3, 2023
Organization · Murfreesboro, TN Corporation	Adp of the SNF	Jul 10, 2025
Individual	Adp of the SNF	Apr 9, 2018
Individual	Adp of the SNF	Dec 10, 2022
Organization · Arkansas City, KS Financial institution	Adp of the SNF	Jul 16, 2025
Sharon Taylor Individual	Corporate Officer Board of Directors Secretary	Jan 1, 1988	100%
	Managing Control - Governing Body Board of Directors Secretary	Jan 1, 1988
	Adp of the SNF	Jan 1, 1988
Individual	Adp of the SNF	Apr 9, 2018
Individual	Adp of the SNF	Apr 27, 2024
Individual	Adp of the SNF	Feb 19, 2016
Individual	Adp of the SNF	Dec 1, 1990
Individual	Adp of the SNF	Jan 24, 2004
Individual	Adp of the SNF	May 4, 2022
Individual	Adp of the SNF	May 27, 2014
Organization · Winfield, KS Investment firm	Adp of the SNF	Jul 14, 2025
Individual	Adp of the SNF	Aug 1, 2024
Organization · Winfield, KS Investment firm, Financial institution	Adp of the SNF	Jul 14, 2025
Sarah Griggs Individual	Corporate Director Executive Director/Ceo	Aug 2, 2023	100%
	Operational/Managerial Control	Aug 2, 2023
	Adp of the SNF	Aug 2, 2023
Individual	Adp of the SNF	Apr 9, 2018
Individual	Adp of the SNF	Jul 16, 2007
Jill Long Individual	Corporate Officer Board of Directors Treasurer	Jan 1, 1992	100%
	Managing Control - Governing Body Board of Directors Treasurer	Jan 1, 1992
	Adp of the SNF	Jan 1, 1992
Bruce Blake Individual	Corporate Officer President Board of Directors	Sep 25, 1987	100%
	Managing Control - Governing Body Board of Directors President	Sep 25, 1987
	Adp of the SNF	Sep 25, 1987
Individual	Adp of the SNF	Mar 1, 2025
Individual	Adp of the SNF	Jan 6, 2008
David Andreas Individual	Corporate Director Board of Directors Member	Jan 1, 2015	100%
	Managing Control - Governing Body Board of Directors Member	Jan 1, 2015
	Adp of the SNF	Jan 1, 2015
Marilyn McNeish Individual	Corporate Officer Board of Directors Vice-President	Sep 25, 1987	100%
	Managing Control - Governing Body Board of Directors Vice President	Sep 25, 1987
	Adp of the SNF	Sep 25, 1987

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20211118002353	KS	Part a Provider - Skilled Nursing Facility	2365831062	Practice locations: Winfield, KS

National Provider Directory

Locations

716 Tweed
Ofc Office
Winfield, KS 67156
Phone (620) 221-4141

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Skilled Nursing Facility	314000000X	N018009	KS	Yes
Skilled Nursing Facility	314000000X

Addresses

Primary practice location

716 Tweed Ofc
Winfield, KS 67156-1596

Mailing address

716 Tweed Ofc Ofc
Winfield, KS 67156-1595
Phone (620) 221-4141

Other identifiers

Identifier	Type	State	Issuer
100111960A	Medicaid	KS

Other names

Cumbernauld Village Doing business as

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	PointClickCare	Direct

Other providers in Winfield, KS

All providers in Winfield, KS · Skilled Nursing Facility in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.