CUMBERLAND HCO LLC
NPI 1033758966
Skilled Nursing Facility in Greenup, IL

NPI Status: Active since December 23, 2019

Contact Information

300 N MARIETTA ST
GREENUP, IL
ZIP 62428
Phone: (217) 923-3186

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 14D0646940
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About CUMBERLAND HCO LLC

This page provides the complete NPI Profile along with additional information for Cumberland Hco Llc, a provider established in Greenup, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1033758966 assigned on December 2019. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Marikay Snyder (General Counsel)

NPI
1033758966
Provider Name
CUMBERLAND HCO LLC
Entity Type
Organization
Location Address
300 N MARIETTA ST GREENUP, IL 62428
Location Phone
(217) 923-3186
Mailing Address
830 W TRAILCREEK DR PEORIA, IL 61614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2019
Last Update Date
12-23-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIKAY SNYDER

Authorized Official Title
GENERAL COUNSEL
Authorized Official Phone
(309) 689-5880

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0646940
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
WHITNEY A. EDWARDS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cumberland Hco Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033758966
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206314516912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 5 + 1 + 6 + 9 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1033758966 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

PETERSEN COMPANIES, LLC

Nursing Facility/Intermediate Care Facility

300 N MARIETTA ST
GREENUP, IL
ZIP 62428

(217) 923-3186

CUMBERLAND HCO LLC

Skilled Nursing Facility

300 N MARIETTA ST
GREENUP, IL
ZIP 62428

(309) 691-8113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033758966, enumerated as an "organization" on December 23, 2019.

The provider is located at 300 N MARIETTA ST GREENUP, IL 62428 and the phone number is (217) 923-3186.

Skilled Nursing Facility with taxonomy code 314000000X.