Provider Demographics
NPI:1902853781
Name:CUMBERLAND CARE, INC.
Entity Type:Organization
Organization Name:CUMBERLAND CARE, INC.
Other - Org Name:WHISPERING PINES NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-488-0711
Mailing Address - Street 1:523 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-7613
Mailing Address - Country:US
Mailing Address - Phone:910-488-0711
Mailing Address - Fax:910-488-8301
Practice Address - Street 1:523 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-7613
Practice Address - Country:US
Practice Address - Phone:910-488-0711
Practice Address - Fax:910-488-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3405348Medicaid
NC3406021Medicaid
NC0706370001OtherDMEPOS
NC0098MOtherBCBS
NC7802524OtherREST HOME
NC3406021Medicaid