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CUMBERLAND MANOR REST HOME I LLC
NPI 1992518153
Assisted Living Facility - Assisted Living, Mental Illness in Parkers Lake, KY

Active since January 30, 2025CLIA 18D2067421 · Waiver
1930 HIGHWAY 90, PARKERS LAKE, KY 42634(516) 708-3503 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cumberland Manor Rest Home I Llc NPPES

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

CUMBERLAND MANOR REST HOME I LLC (NPI 1992518153) is a healthcare organization registered as an assisted living, mental illness in Parkers Lake, Kentucky and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Raquel Edery, Coo, as its authorized official.

NPPES Registry Identity

NPI1992518153
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCUMBERLAND MANOR REST HOME I LLC
Location Address1930 HIGHWAY 90Parkers Lake, KY 42634-9251
Mailing Address455 Central Ave Ste 215Cedarhurst, NY 11516-2008 · (516) 708-3503
Phone(516) 708-3503
Organization SubpartNo
Authorized OfficialRaquel EderyCoo · (516) 708-3503
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1992518153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1930 HIGHWAY 90, Parkers Lake, KY 42634
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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 18D2067421

Cumberland Manor Rest Home, Inc · Parkers Lake, KY
Active · expires Oct 14, 2027
CLIA Number18D2067421
Laboratory TypePersonal Care Home
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorMs. Rose Patrick
Laboratory Phone(606) 376-5951
Laboratory LocationCumberland Manor Rest Home, Inc1930 Highway 90, Parkers Lake, KY 42634
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Manor Rest Home I LLC's NPI number?

The NPI number for Cumberland Manor Rest Home I LLC is 1992518153. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Cumberland Manor Rest Home I LLC located?

Cumberland Manor Rest Home I LLC is located at 1930 Highway 90, Parkers Lake, KY 42634. The listed phone number is (516) 708-3503.

What is Cumberland Manor Rest Home I LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Cumberland Manor Rest Home I LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2067421) is associated with this NPI, valid through October 14, 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 Manor Rest Home I LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.