Provider Demographics
NPI:1053843300
Name:WINIFRED LEASING CO., LLC
Entity Type:Organization
Organization Name:WINIFRED LEASING CO., LLC
Other - Org Name:CUMBERLAND HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-530-1613
Mailing Address - Street 1:512 WINIFRED RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6396
Mailing Address - Country:US
Mailing Address - Phone:301-722-5535
Mailing Address - Fax:301-724-5801
Practice Address - Street 1:512 WINIFRED RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-6396
Practice Address - Country:US
Practice Address - Phone:301-722-5535
Practice Address - Fax:301-724-5801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility