CUMBERLAND VALLEY MANOR, INC.
NPI 1306841200
Skilled Nursing Facility in Burkesville, KY

Active since June 16, 2005CLIA 18D0959940 · Waiver
301 S MAIN ST, BURKESVILLE, KY 42717(270) 864-4315(270) 864-3721 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cumberland Valley Manor, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUMBERLAND VALLEY MANOR, INC. (NPI 1306841200) is a healthcare organization registered as a skilled nursing facility in Burkesville, Kentucky and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Paul Shepard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306841200
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCUMBERLAND VALLEY MANOR, INC.
Location Address301 S MAIN STBurkesville, KY 42717-9625
Mailing AddressPo Box 438Burkesville, KY 42717-0438 · (270) 864-4315 · Fax (270) 864-3721
Fax(270) 864-3721
Organization SubpartNo
Authorized OfficialPaul ShepardAdministrator · (270) 864-4315
Enumeration DateJune 16, 2005
Last NPPES UpdateJanuary 6, 2010
NPI 1306841200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in KY · 100471
Definition
(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.
301 S MAIN ST, Burkesville, KY 42717

Other Identifiers 3

Medicare OSCAR/certification185270KY
Medicare NSC1014910001KY
Medicaid12501607KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0959940

Cumberland Valley Manor · Burkesville, KY
Active · expires Apr 22, 2027
CLIA Number18D0959940
Laboratory TypeOther
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorMr. Robert L. Flowers
Laboratory Phone(270) 864-4315
Laboratory LocationCumberland Valley Manor301 South Main Street, Burkesville, KY 42717
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
301 S MAIN ST
BURKESVILLE, KY 42717
Skilled Nursing Facility
301 S MAIN ST
BURKESVILLE, KY 42717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cumberland Valley Manor, Inc.'s NPI number?

The NPI number for Cumberland Valley Manor, Inc. is 1306841200. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Cumberland Valley Manor, Inc. located?

Cumberland Valley Manor, Inc. is located at 301 S Main St, Burkesville, KY 42717. The listed phone number is (270) 864-4315.

What is Cumberland Valley Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Cumberland Valley Manor, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0959940) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cumberland Valley Manor, Inc. was last updated on January 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.