Provider Demographics
NPI:1235319393
Name:CAMBRIDGE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:CAMBRIDGE HOME HEALTH CARE, INC.
Other - Org Name:CAMBRIDGE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
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 1:295 N KERRWOOD DR
Practice Address - Street 2:SUITE 105
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-5207
Practice Address - Country:US
Practice Address - Phone:724-342-6435
Practice Address - Fax:724-343-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA397787Medicare Oscar/Certification