Organization Active NPI

Cumberland Village-Hills Operator, LLC

  • Assisted Living Facility
  • Aiken, SC
National Provider Identifier
1912615287
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CUMBERLAND VILLAGE-HILLS OPERATOR, LLC
Practice address
3215 Wise Creek LN
Aiken, SC 29801-2534
Phone
(803) 641-8444
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Thomas Michael Rabold Jr.
Title
Managing Partner
Phone
(954) 496-0387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3215 Wise Creek LN
Aiken, SC 29801-2534

Mailing address

215 N New River Dr E Apt 1600
Fort Lauderdale, FL 33301-1091
Phone (954) 496-0387

National Provider Directory

National Provider Directory

Locations

3215 Wise Creek Ln
Aiken, SC 29801
Phone (803) 641-8444

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1912615287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N NEW RIVER DR E APT 1600",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011091",
            "telephone_number": "954-496-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 WISE CREEK LN",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012534",
            "telephone_number": "803-641-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND VILLAGE-HILLS OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "RABOLD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "954-496-0387",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.