Provider Demographics
NPI:1770634453
Name:CAMBRIDGE POINT PLEASANT, LLC
Entity Type:Organization
Organization Name:CAMBRIDGE POINT PLEASANT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-297-5555
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:18950-0217
Mailing Address - Country:US
Mailing Address - Phone:215-297-5555
Mailing Address - Fax:215-297-0589
Practice Address - Street 1:90 CAFFERTY ROAD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:18950-0217
Practice Address - Country:US
Practice Address - Phone:215-297-5555
Practice Address - Fax:215-297-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA121210163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty