Healthcare Provider Details

I. General information

NPI: 1073583894
Provider Name (Legal Business Name): CAMBRIA HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 05/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 RAILROAD STREET
SUMMERHILL PA
15958
US

IV. Provider business mailing address

1506 RAILROAD STREET
SUMMERHILL PA
15958
US

V. Phone/Fax

Practice location:
  • Phone: 814-495-4484
  • Fax: 814-495-5579
Mailing address:
  • Phone: 814-495-4484
  • Fax: 814-495-5579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number100006894
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number18033601
License Number StatePA

VIII. Authorized Official

Name: MRS. CHERYL ANN LEVENTRY
Title or Position: ADMIN./ PRES.
Credential: RN
Phone: 814-495-4484