Healthcare Provider Details
I. General information
NPI: 1326173758
Provider Name (Legal Business Name): CAMBRIDGE HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
88 N PLAINS RD STE 104A
THE PLAINS OH
45780-1162
US
IV. Provider business mailing address
PO BOX 51266
LAFAYETTE LA
70505-1266
US
V. Phone/Fax
- Phone: 740-589-5555
- Fax: 740-589-5510
- Phone: 337-233-1307
- Fax: 337-443-4154
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
L
PROFFITT
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307