Provider Demographics
NPI:1417458605
Name:CAMBRIDGE HOME CARE LLC
Entity Type:Organization
Organization Name:CAMBRIDGE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:ELSA
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:646-673-8415
Mailing Address - Street 1:415 MADISON AVE STE 1415
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1111
Mailing Address - Country:US
Mailing Address - Phone:646-673-8415
Mailing Address - Fax:646-349-2017
Practice Address - Street 1:415 MADISON AVE STE 1415
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1111
Practice Address - Country:US
Practice Address - Phone:646-673-8415
Practice Address - Fax:646-349-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2131L001163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty