Carolina Health Care Center of Cumberland County, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0593 Issued in NC

Legal business name

CAROLINA HEALTH CARE CENTER OF CUMBERLAND COUNTY, LP

Practice address

4600 Cumberland Rd
Fayetteville, NC 28306-2412

Phone

(910) 429-1690

Fax

(910) 429-1710

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Claude Novel Martin III

Title

Cfo, Mfa Inc. General Partner

Phone

(540) 776-7526

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Carolina Rehab Center of Cumberland Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1902990153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184374",
            "telephone_number": "540-989-3618",
            "fax_number": "540-774-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 CUMBERLAND RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062412",
            "telephone_number": "910-429-1690",
            "fax_number": "910-429-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTH CARE CENTER OF CUMBERLAND COUNTY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NOVEL",
        "authorized_official_title_or_position": "CFO, MFA INC. GENERAL PARTNER",
        "authorized_official_telephone_number": "540-776-7526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0593",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405505",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340613C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Rehab Center of Cumberland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Family Pharmacy Inc
• Carolina Family Practice Centre, PA
• Carolina Family Practice Centre, PA
• Carolina Footcare, PLLC
• Carolina Health Associates PC
• Carolina Heart Physicians PLLC
• Carolina Homehealth Agency LLC
• Carolina Hope Behavioral Health LLC
• Carolina Imaging LLC of Fayetteville
• Carolina Imaging LLC of Fayetteville

• Skilled Nursing Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.