Provider Demographics
NPI:1710445200
Name:CAMBRIDGE HHA LLC
Entity Type:Organization
Organization Name:CAMBRIDGE HHA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SRBUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:DURGHUTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-831-0031
Mailing Address - Street 1:250 LOMBARD ST STE 7
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-8213
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:250 LOMBARD ST STE 7
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-8213
Practice Address - Country:US
Practice Address - Phone:323-831-0031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health