MEDICARE: CAMBRIDGE HOME HEALTH CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568640068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMBRIDGE HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	PO BOX 51266
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-1266
Country	:	US
Telephone Number	:	337-233-1307
Fax Number	:	337-443-4154

Provider Business Practice Location Address
First Line	:	580 LINCOLN PARK BLVD STE 101
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-3493
Country	:	US
Telephone Number	:	937-643-2422
Fax Number	:	937-643-2415

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSHUA L PROFFITT
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	03/20/2025

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