CUMBERLAND KY OPCO LLC

NPI 1962112854, organization, Burkesville, KY, Skilled Nursing Facility

Evidence tier

No indicators

No detector reached this NPI and it appears on none of the loaded lists.

Provider networks

D1-00163 ranked 163

293 providers around Bronx, NY: 6 hospices, 5 home health agencies, 282 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	CUMBERLAND KY OPCO LLC
Type	Organization
Status	Active
NPI issued	December 1, 2022, last updated March 17, 2023
Practice location	301 S MAIN ST, Burkesville, KY 42717-9625, 917-418-9100
Mailing address	150 OBERLIN AVE N STE 6, Lakewood, NJ 08701-4535
Authorized official	ELI GRINSPAN (Chief Operating Officer)
Specialties	Skilled Nursing Facility (314000000X, primary)

In this area

31 providers in Burkesville, KY carry an indicator in the public record, with $15.2M at stake between them. The most common is paid after a public list action, on 15 of them, followed by named in an enforcement record on 14. 24 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	EDGEWATER RECOVERY CENTER LLC Morehead, KY, ranked 38	$6.5M	Listed on an HHS-OIG enforcement record since January 30, 2024. Medicaid still paid claims in 11 later months, $6,465,610 in total. and 1 more
1	RECOVERY CENTER OF KENTUCKY, LLC Elizabethtown, KY, ranked 41	$4.5M	Adjudicated (civil judgment) per a Department of Justice release dated May 15, 2026. Medicaid paid $4,466,448 in the last 12 observed months.
1	PIONEER HEALTH GROUP LLC Louisa, KY, ranked 47	$2.9M	Adjudicated (civil judgment) per an HHS-OIG enforcement record dated July 27, 2026. Medicaid paid $2,921,665 in the last 12 observed months.
1	MAJA CUPAC Louisville, KY, ranked 65	$9K	Listed on the KY Medicaid exclusion list since April 22, 2022. Medicaid still paid claims in 4 later months, $8,911 in total. and 1 more
1	MADISON PRIMARY CARE, LLC Richmond, KY, ranked 76	$612K	Listed on the KY Medicaid exclusion list since April 20, 2021. Medicaid still paid claims in 40 later months, $612,164 in total.
1	THOMAS HUGHES Bowling Green, KY, ranked 121	$152K	Listed on the IN Medicaid exclusion list since November 30, 2016. Medicaid still paid claims in 42 later months, $151,689 in total.
1	BAKER CHIROPRACTIC CENTER PSC Louisville, KY, ranked 139	$119K	Listed on the KY Medicaid exclusion list and the Medicare revocation list since January 4, 2024. Medicaid still paid claims in 10 later months, $119,249 in total.
1	MICHAEL BAKER Louisville, KY, ranked 140	$119K	Listed on the Medicare revocation list and the KY Medicaid exclusion list since January 4, 2024. Medicaid still paid claims in 10 later months, $119,249 in total.

All 31 in KY

Recent enforcement in KY

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedAug 27, 2026

Kentucky Medical Biller Indicted for Healthcare Fraud and Money Laundering Charges

Sanders recruited individuals to open behavioral health entities, handled their Kentucky Medicaid credentialing and enrollment, and directed submission of fraudulent Medicaid claims across ten behavioral health providers for services never provided, including for incarcerated, hospitalized, or deceased members, using licensed professionals' NPIs without authorization.

DOJChargedJun 23, 2026

5 Individuals and 2 Companies Charged as Part of Department of Justice National Health Care Fraud Takedown

Seven defendants were charged in four cases with schemes including billing Kentucky Medicaid for peer support and psychoeducation services that were fraudulent, unauthorized, or not rendered using providers' NPIs, using a DEA number to order controlled substances in others' names, credentialing a company with Medicare and billing for services not rendered using a doctor's NPI, and stealing controlled substances from hospitals and falsely documenting administration.

DOJCivil settlementJun 23, 2026

Civil Settlements Reached as Part of Department of Justice National Health Care Fraud Takedown

Three Home and Community Based Waiver providers and their owners, who had shared financial interests, referred Medicaid waiver beneficiaries for attendant care services and billed Medicaid for attendant care hours that were not fully provided or not provided at all.

DOJCivil judgmentMay 15, 2026

Operators of Day Treatment Program for Children Agree to $15.2 Million Civil Judgment to Resolve Medicaid Fraud Allegations

The Government alleged that from August 2022 through June 2025 the Recovery Centers sought Medicaid payments for time children spent on education, recreation, and lunch breaks at the Aspire Day Program and that Recovery Center of Kentucky falsely represented clinician qualifications to obtain higher reimbursements.

DOJSentencedApr 24, 2026

Former Sober Home Owner and Operator Sentenced for Kickback Conspiracy and Health Care Fraud

Jordan solicited and received kickbacks in exchange for referring urine drug testing from her sober home company to three labs, and Serenity Keepers billed Medicaid for peer support services not provided by licensed peer support specialists, with Williams reporting that residents received six hours of peer support services per day knowing that was not true.

Referral packet

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