# CAROLINA HEALTH CARE CENTER OF CUMBERLAND COUNTY, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Rehab Center of Cumberland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902990153
- **Authorized official:** MR. CLAUDE NOVEL MARTIN III (CFO, MFA INC. GENERAL PARTNER)
- **Authorized official phone:** (540) 776-7526

## Contact information

- **Practice address:** 4600 CUMBERLAND RD, FAYETTEVILLE, NC 28306-2412
- **Practice address phone:** (910) 429-1690
- **Practice address fax:** (910) 429-1710
- **Mailing address:** 2917 PENN FOREST BLVD, ROANOKE, VA 24018-4374
- **Mailing address phone:** (540) 989-3618
- **Mailing address fax:** (540) 774-9443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0593 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0593 | NC | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 05/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405505 | — | NC |
| 05 | — | 340613C | — | NC |