CUMBERLAND ADVENTURE PROGRAM
NPI 1891038493
Residential Treatment Facility, Emotionally Disturbed Children in Bronston, KY

NPI Status: Active since April 02, 2013

Contact Information

500 NEW START RD
BRONSTON, KY
ZIP 42518
Phone: (606) 561-5797

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  • Organization
  • Residential Treatment Facility, Emotiona...
  • CLIA Number: 18D1025568
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 06-24-2027

About CUMBERLAND ADVENTURE PROGRAM

This page provides the complete NPI Profile along with additional information for Cumberland Adventure Program, a provider established in Bronston, Kentucky operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1891038493 assigned on April 2013. The practitioner's primary taxonomy code is 322D00000X with license number 0167 (KY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Cumberland Adventure Program. The authorized official of this NPI record is Sharon C' De Baca (Executive Assistant To President)

NPI
1891038493
Provider Legal Name
SUNRISE CHILDREN'S SERVICES, INC.
Other Organization Name
CUMBERLAND ADVENTURE PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
500 NEW START RD BRONSTON, KY 42518
Location Phone
(606) 561-5797
Mailing Address
PO BOX 1429 MT WASHINGTON, KY 40047
Mailing Phone
(502) 538-1000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2013
Last Update Date
10-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
0167
License State
KY
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHARON C' DE BACA

Authorized Official Title
EXECUTIVE ASSISTANT TO PRESIDENT
Authorized Official Phone
(502) 538-1010

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
18D1025568
Facility Type
Other
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
HOLLY TITUS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cumberland Adventure Program 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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891038493
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281810316418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 0 + 3 + 1 + 6 + 4 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1891038493 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528401775DR. MARGIE MAE REYNOLDS LPCC
Individual
Counselor (Professional)500 NEW START RD
BRONSTON, KY 42518
(606) 561-5797
1497082069 MARTHA JANE CROWDER LPCC, NCC
Individual
Counselor (Professional)500 NEW START RD
BRONSTON, KY 42518
(606) 561-2904
1194068890MRS. TIFFANY A DOMINEY LPCA
Individual
Counselor (Mental Health)500 NEW START RD
BRONSTON, KY 42518
(606) 561-5797
1275962458 AMIE JO WILSON LPCC
Individual
Counselor (Mental Health)500 NEW START RD
BRONSTON, KY 42518
(606) 561-5797

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891038493, enumerated in the NPI registry as an "organization" on April 02, 2013

The provider is located at 500 New Start Rd Bronston, Ky 42518 and the phone number is (606) 561-5797

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

The provider's CLIA number is 18D1025568 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on April 02, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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