CUMBERLAND RIDGE ASSISTED LIVING FACILITY
NPI 1437410107
Assisted Living Facility in Crossville, TN

Active since May 30, 2012CLIA 44D2214541 · Waiver
458 WAYNE AVE, SUITE 100, CROSSVILLE, TN 38555(931) 456-8666(931) 456-2355 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cumberland Ridge Assisted Living Facility NPPES

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

CUMBERLAND RIDGE ASSISTED LIVING FACILITY (NPI 1437410107) is a healthcare organization registered as an assisted living facility in Crossville, Tennessee and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Jinger Kaye Loggins, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1437410107
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCUMBERLAND RIDGE ASSISTED LIVING FACILITY
Location Address458 WAYNE AVE, SUITE 100Crossville, TN 38555-9220
Mailing Address458 Wayne Ave, Suite 100Crossville, TN 38555-9220 · (931) 456-8666 · Fax (931) 456-2355
Fax(931) 456-2355
Organization SubpartNo
Authorized OfficialJinger Kaye LogginsExecutive Director · (931) 456-8688
Enumeration DateMay 30, 2012
NPI 1437410107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in TN · H445619
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

458 WAYNE AVE, Crossville, TN 38555

Other Identifiers 1

MedicaidH445619TN

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
44D2214541
Facility Type
Assisted Living Facility
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
REBEKAH J. BLAYLOCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cumberland Ridge Assisted Living Facility 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437410107, enumerated as an "organization" on May 30, 2012.

The provider is located at 458 WAYNE AVE SUITE 100 CROSSVILLE, TN 38555 and the phone number is (931) 456-8666.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.