Cumbernauld Village, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N018009 Issued in KS

Legal business name

CUMBERNAULD VILLAGE, INC.

Doing business as

Cumbernauld Village

Practice address

716 Tweed Ofc
Winfield, KS 67156-1596

Phone

(620) 221-4141

Fax

(620) 221-4146

NPI assigned

Jan 30, 2007

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Blake

Title

President of the Board of Directors

Phone

(620) 221-6924

Specialties & licenses 2

Addresses

Other names 1

• Cumbernauld Village Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821134263. Details of each certification follow.

• CCN 175569 Skilled nursing facility · Active · Details

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

CorporationNon-profit

Enrollment address

716 Tweed
Ofc Ofc
Winfield, KS 67156-1595

Nursing home name

CUMBERNAULD VILLAGE

Listed as

Cumbernauld VillageCCN 175569 · All quality measures

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

ActiveFrom the Provider of Services file

Certified beds

4231.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Voth

  • Skilled Nursing Facility
  • Winfield, KS
  • NPI 1164098505
  NPD

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

  Nursing home

  Care Compare affiliation
• Bryan K. Dennett, M.D.

  • Family Medicine Physician
  • Winfield, KS
  • NPI 1770697526

  Nursing home

  Care Compare affiliation
• Daisy Ann Soriano Matias, MD

  • Family Medicine Physician
  • Winfield, KS
  • NPI 1740481290

  Nursing home

  Care Compare affiliation
• Sapna Shah-Haque, MD

  • Internal Medicine Physician
  • Winfield, KS
  • NPI 1881906592

  Nursing home

  Care Compare affiliation
• Laura Michelle Thielen, FNP-BC

  • Family Nurse Practitioner
  • Winfield, KS
  • NPI 1588288245

  Nursing home

  Care Compare affiliation
• Treasure A Wehner, D.O.

  • Family Medicine Physician
  • Winfield, KS
  • NPI 1740247584

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1821134263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 TWEED OFC OFC",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671561595",
            "telephone_number": "620-221-4141",
            "fax_number": "620-221-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 TWEED OFC",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671561596",
            "telephone_number": "620-221-4141",
            "fax_number": "620-221-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERNAULD VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT OF THE BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "620-221-6924"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N018009",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PointClickCare",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "716 Tweed Ofc Ofc",
            "city": "Winfield",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671561595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cumbernauld Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Winfield, KS
• Providers in Winfield, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.

Verify at the official NPI Registry.