Organization Active NPI

Cambridge Home Care, LLC

  • In Home Supportive Care Agency
  • Ypsilanti, MI
National Provider Identifier
1265949556
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAMBRIDGE HOME CARE, LLC
Practice address
9639 Wexford Dr
Ypsilanti, MI 48198-3286
Phone
(734) 837-4789
NPI assigned
Jan 8, 2018
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Raquel Marie Ennis
Title
C.E.O.
Phone
(734) 981-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9639 Wexford Dr
Ypsilanti, MI 48198-3286

Mailing address

5880 N Canton Center Rd Ste 418
Canton, MI 48187-2616

National Provider Directory

National Provider Directory

Locations

5880 N Canton Center Rd
Ste 418
Canton, MI 48187
Phone (734) 945-7822

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1265949556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 N CANTON CENTER RD STE 418",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9639 WEXFORD DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983286",
            "telephone_number": "734-837-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "734-981-2880"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.