Healthcare Provider Details

I. General information

NPI: 1770634453
Provider Name (Legal Business Name): CAMBRIDGE POINT PLEASANT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 CAFFERTY ROAD
POINT PLEASANT PA
18950-0217
US

IV. Provider business mailing address

PO BOX 217
POINT PLEASANT PA
18950-0217
US

V. Phone/Fax

Practice location:
  • Phone: 215-297-5555
  • Fax: 215-297-0589
Mailing address:
  • Phone: 215-297-5555
  • Fax: 215-297-0589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number121210
License Number StatePA

VIII. Authorized Official

Name: DR. ERWIN CARNER
Title or Position: CEO AND CO-OWNER
Credential:
Phone: 215-297-5555