Healthcare Provider Details

I. General information

NPI: 1760702500
Provider Name (Legal Business Name): CAMBRIDGE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 PARKLAKE DR NE STE 228
ATLANTA GA
30345-3070
US

IV. Provider business mailing address

2310 PARKLAKE DR NE STE 228
ATLANTA GA
30345-3070
US

V. Phone/Fax

Practice location:
  • Phone: 404-935-5900
  • Fax: 678-252-2172
Mailing address:
  • Phone: 404-935-5900
  • Fax: 678-252-2172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number060R0243
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MANISH PATEL
Title or Position: MANAGER
Credential:
Phone: 412-294-2448