Provider Demographics
NPI:1588714117
Name:CAMBRIDGE HOME HEALTH CARE
Entity type:Organization
Organization Name:CAMBRIDGE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLER-SHIVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-668-1922
Mailing Address - Street 1:4765 GLENDALE MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3819
Mailing Address - Country:US
Mailing Address - Phone:513-793-4555
Mailing Address - Fax:
Practice Address - Street 1:4765 GLENDALE MILFORD RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-3819
Practice Address - Country:US
Practice Address - Phone:513-793-4555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health