Provider Demographics
NPI:1114157021
Name:CAMBRIDGE HOME HEALTH CARE, INC. PRIVATE
Entity Type:Organization
Organization Name:CAMBRIDGE HOME HEALTH CARE, INC. PRIVATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DILLER SHIVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-668-1922
Mailing Address - Street 1:4085 EMBASSY PKWY
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1781
Mailing Address - Country:US
Mailing Address - Phone:330-668-1922
Mailing Address - Fax:330-668-1060
Practice Address - Street 1:2734 OAK RIDGE CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-9369
Practice Address - Country:US
Practice Address - Phone:239-344-7420
Practice Address - Fax:239-277-5665
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAMBRIDGE HOME HEALTH CARE, INC. PRIVATE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health