Organization Active NPI

Cambridge Place Assisted Living and Memory Care

  • Assisted Living Facility
  • Cambridge, OH
National Provider Identifier
1467058958
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CAMBRIDGE PLACE ASSISTED LIVING AND MEMORY CARE
Practice address
1480 Deerpath Dr
Cambridge, OH 43725-9098
Phone
(174) 025-5500
Fax
(740) 255-5785
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dawn Zornes
Title
Executive Director
Phone
(740) 255-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1480 Deerpath Dr
Cambridge, OH 43725-9098

Mailing address

1480 Deerpath Dr
Cambridge, OH 43725-9098
Phone (740) 255-5005

Other identifiers 1

IdentifierTypeStateIssuer
533374544MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://drive.google.com/drive/my-drive Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2067293Cambridge Place (Cambridge1480 Deerpath Drive, Cambridge, OH 43725Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1467058958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 DEERPATH DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259098",
            "telephone_number": "740-255-5005",
            "fax_number": "740-255-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 DEERPATH DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259098",
            "telephone_number": "174-025-5500",
            "fax_number": "740-255-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE PLACE ASSISTED LIVING AND MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "ZORNES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-255-5005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533374544",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://drive.google.com/drive/my-drive",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1480 Deerpath Dr",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437259098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.