MEDICARE: CMB HOME 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	861	LA

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	:	1821066218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMB HOME CARE, INC

Provider Business Mailing Address
First Line	:	69106 HIGHWAY 190 SERVICE RD
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-5140
Country	:	US
Telephone Number	:	985-549-1539
Fax Number	:	985-549-1577

Provider Business Practice Location Address
First Line	:	69106 HIGHWAY 190 SERVICE RD
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-5140
Country	:	US
Telephone Number	:	985-549-1539
Fax Number	:	985-549-1577

Authorized Official
Title or Position	:	OWNER / DIRECTOR
Name	:	MRS. STACEY POWELL CAMBRE
Credential	:	RN BSN OWNER PRES
Telephone Number	:	985-549-1539

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	02/09/2026

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