Organization Active NPI

Cumberland Creek Assisted Living Inc.

  • Adult Care Home Facility
  • Fayetteville, NC
National Provider Identifier
1891471256
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CUMBERLAND CREEK ASSISTED LIVING INC.
Practice address
1124 Cedar Creek Rd
Fayetteville, NC 28312-6544
Phone
(910) 323-8212
Fax
(910) 485-0890
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Mary-Margaret Lennon Clifton
Title
President
Phone
(910) 874-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1124 Cedar Creek Rd
Fayetteville, NC 28312-6544

Mailing address

4749 US Highway 701 Bus S
Clarkton, NC 28433-9758
Phone (910) 862-3693

National Provider Directory

National Provider Directory

Locations

4749 US Highway 701 Bus S
Clarkton, NC 28433

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1891471256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 US HIGHWAY 701 BUS S",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284339758",
            "telephone_number": "910-862-3693"
        },
        {
            "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",
            "fax_number": "910-485-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND CREEK ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "MARY-MARGARET",
        "authorized_official_middle_name": "LENNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-874-4226"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.