CUMBERLAND RESIDENTIAL & EMPLOYMENT SERVICES & TRAINING NPI 1740324763

NPI Information

NPI: 1740324763
Provider Name: CUMBERLAND RESIDENTIAL & EMPLOYMENT SERVICES & TRAINING

Other Name: CREST

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
224 RANDOLPH AVE
FAYETTEVILLE, NC
ZIP 28311
Phone: (910) 487-3131
Get Directions

CUMBERLAND RESIDENTIAL & EMPLOYMENT SERVICES & TRAINING is a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CUMBERLAND RESIDENTIAL & EMPLOYMENT SERVICES & TRAINING NPI is 1740324763. The provider is registered as an organization entity type.
The provider Other Name Is Crest.

The provider's business location address is:

224 RANDOLPH AVE
FAYETTEVILLE, NC
ZIP 28311-743
Phone: (910) 487-3131
Fax: (910) 487-0637

The provider's authorized official is Dwayne K. Patterson .
The authorized official title is Executive Director and has the following contact phone number (910) 487-3131.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 7/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-026-642	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7804520	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »