Provider Demographics
NPI:1518092931
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:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PROFFITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-233-1307
Mailing Address - Street 1:1100 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2253
Mailing Address - Country:US
Mailing Address - Phone:419-775-1253
Mailing Address - Fax:
Practice Address - Street 1:2291 W 4TH ST
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-1261
Practice Address - Country:US
Practice Address - Phone:567-241-0464
Practice Address - Fax:567-241-0463
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAMBRIDGE HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-23
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36-8155Medicare ID - Type Unspecified