Active NPI
Cumberland Medical Staffing
- Skilled Nursing Facility
- Marietta, GA
National Provider Identifier
1912200742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 & TRAINING
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.