Provider Demographics
NPI:1235908914
Name:CAMBRIDGE CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CAMBRIDGE CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KINYA
Authorized Official - Middle Name:CYRUS
Authorized Official - Last Name:KAMAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-615-8366
Mailing Address - Street 1:2448 E 81ST ST STE 5626
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4309
Mailing Address - Country:US
Mailing Address - Phone:918-615-8366
Mailing Address - Fax:918-615-8366
Practice Address - Street 1:2448 E 81ST ST STE 5626
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4309
Practice Address - Country:US
Practice Address - Phone:918-615-8366
Practice Address - Fax:918-615-8366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities