MEDICARE: CAMBRIDGE HOME HEALTH CARE

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

General Provider Information

NPI Number	:	1588714117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMBRIDGE HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	4765 GLENDALE MILFORD RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-3819
Country	:	US
Telephone Number	:	513-793-4555
Fax Number	:

Provider Business Practice Location Address
First Line	:	4765 GLENDALE MILFORD RD
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-3819
Country	:	US
Telephone Number	:	513-793-4555
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NANCY DILLER-SHIVELY
Credential	:
Telephone Number	:	330-668-1922

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	08/22/2020

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