MEDICARE: CAMBRIDGE HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1912136516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMBRIDGE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	4085 EMBASSY PKWY
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-1781
Country	:	US
Telephone Number	:	330-668-1922
Fax Number	:	330-668-2909

Provider Business Practice Location Address
First Line	:	2734 OAK RIDGE CT
Second Line	:	UNIT 404
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9369
Country	:	US
Telephone Number	:	330-668-1922
Fax Number	:	330-668-1060

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	NANCY J DLLLER-SHIVELY
Credential	:
Telephone Number	:	330-668-1922

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	07/06/2009

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