HP Cambridge House Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

262 Issued in TN

Legal business name

HP CAMBRIDGE HOUSE INC

Doing business as

The Cambridge House

Practice address

250 Bellebrook Road
Bristol, TN 37620-5623

Phone

(423) 968-4123

Fax

(423) 968-4076

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas K Mittleider

Title

President

Phone

(770) 619-0866

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Cambridge House Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1235162405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 WINDWARD PKWY",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055203",
            "telephone_number": "770-619-0866",
            "fax_number": "770-870-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BELLEBROOK ROAD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376205623",
            "telephone_number": "423-968-4123",
            "fax_number": "423-968-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HP CAMBRIDGE HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-619-0866"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445190",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cambridge House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gianna Marie Horsley, DO
• Girendra V Hoskere, MD
• John Richard Hovious III, M.D.
• Shelly Howard, NP-C
• Tiffany Faith Erwin Howard, LPC-MHSP
• Sarah Anne Hubbard, DMD
• David R Hudgens, M.D.
• Cassie Brooks Hudson, D.O
• Jared A Hudson, MD
• Jonathan R Hughes, M.D.

• Skilled Nursing Facility in Bristol, TN
• Providers in Bristol, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.