Healthcare Provider Details

I. General information

NPI: 1013250448
Provider Name (Legal Business Name): CUMBERLAND OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 09/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 SUNNY SLOPE DR
BRIDGETON NJ
08302-5732
US

IV. Provider business mailing address

14C 53RD ST SUITE 220
BROOKLYN NY
11232-2644
US

V. Phone/Fax

Practice location:
  • Phone: 718-567-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CHAVIE KATZ
Title or Position: BILLING MANAGER
Credential:
Phone: 718-567-0400