Provider Demographics
NPI:1558331371
Name:CAMBRIA HOME HEALTH INC
Entity Type:Organization
Organization Name:CAMBRIA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LEVENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-495-4484
Mailing Address - Street 1:1506 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERHILL
Mailing Address - State:PA
Mailing Address - Zip Code:15958-3312
Mailing Address - Country:US
Mailing Address - Phone:814-495-4484
Mailing Address - Fax:814-495-5579
Practice Address - Street 1:1506 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:SUMMERHILL
Practice Address - State:PA
Practice Address - Zip Code:15958
Practice Address - Country:US
Practice Address - Phone:814-495-4484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA745805251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001125313Medicaid