Provider Demographics
NPI:1275945024
Name:CAMBRIDGE HEALTHCARE
Entity Type:Organization
Organization Name:CAMBRIDGE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAVANYE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALLAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-798-7506
Mailing Address - Street 1:301 CRICKLEWOOD SQ APT C
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-8210
Mailing Address - Country:US
Mailing Address - Phone:828-775-4790
Mailing Address - Fax:
Practice Address - Street 1:22960 SHAW RD STE 605
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-9447
Practice Address - Country:US
Practice Address - Phone:703-798-7506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13327314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility