Organization Active NPI

Cumberland Medical Staffing

  • Skilled Nursing Facility
  • Marietta, GA
National Provider Identifier
1912200742
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CUMBERLAND MEDICAL STAFFING
Practice address
3411 Austell Rd SW
Suite 100
Marietta, GA 30008-5796
Phone
(770) 435-2555
Fax
(678) 324-1044
NPI assigned
Dec 17, 2010
Organization subpart
Yes
Parent organization
CUMBERLAND HEALTH SERVICES & TRAININGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Mr. Jonah Odekhiran, NRC
Title
Administrator
Phone
(770) 435-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3411 Austell Rd SW
Suite 100
Marietta, GA 30008-5796

Mailing address

3411 Austell Rd SW
Suite 100
Marietta, GA 30008-5796
Phone (770) 435-2555

Other names 1

  • CUMBERLAND MEDICAL STAFFING Doing business as

National Provider Directory

National Provider Directory
Part of
Cumberland Medical Staffing

Locations

3411 Austell Rd SW
Ste 100
Marietta, GA 30008
Phone (770) 435-2555

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1912200742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 AUSTELL RD SW",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085796",
            "telephone_number": "770-435-2555",
            "fax_number": "678-324-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 AUSTELL RD SW",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085796",
            "telephone_number": "770-435-2555",
            "fax_number": "678-324-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND MEDICAL STAFFING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND HEALTH  SERVICES & TRAINING",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "ODEKHIRAN",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-435-2555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NRC"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUMBERLAND MEDICAL STAFFING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.