Healthcare Provider Details

I. General information

NPI: 1558331371
Provider Name (Legal Business Name): CAMBRIA HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 RAILROAD ST
SUMMERHILL PA
15958
US

IV. Provider business mailing address

1506 RAILROAD ST
SUMMERHILL PA
15958-3312
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number745805
License Number StatePA

VIII. Authorized Official

Name: CHERYL ANN LEVENTRY
Title or Position: OWNER/ADMIN
Credential:
Phone: 814-495-4484