Active NPI
Cambridge Healthcare and Rehab Center, LLC
- Nursing Facility/Intermediate Care Facility
- Cambridge, OH
National Provider Identifier
1053662429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- CAMBRIDGE HEALTHCARE AND REHAB CENTER, LLC
- Practice address
- 8420 Georgetown Rd
Cambridge, OH 43725-8866 - Phone
- (740) 439-0636
- NPI assigned
- Sep 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Brandman
- Title
- Manager
- Phone
- (773) 338-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
8420 Georgetown Rd
Cambridge, OH 43725-8866
Mailing address
2711 W Howard St
Chicago, IL 60645-1303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076086 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1053662429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 W HOWARD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606451303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 GEORGETOWN RD",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437258866",
"telephone_number": "740-439-0636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE HEALTHCARE AND REHAB CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-26",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "BRANDMAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "773-338-4400"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076086",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.