Active NPI
Cambridge Place Assisted Living and Memory Care
- Assisted Living Facility
- Cambridge, OH
National Provider Identifier
1467058958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2020
- 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
- Dawn Zornes
- Title
- Executive Director
- Phone
- (740) 255-5005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 533374544 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://drive.google.com/drive/my-drive | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2067293 | Cambridge Place (Cambridge | Certificate of waiver | Oct 10, 2027 |
National Provider Directory
National Provider DirectoryNPI 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
- Cambridge Health Leasing, LLC
- Cambridge Healthcare and Rehab Center, LLC
- Cambridge NH LLC (Greystone Health and Rehabilitation Center of Cambridge)
- Cambridge Open MRI
- Cambridge Physical Therapy, Inc.
- Cambridge Recovery LLC
- Cambridge SNF Healthcare LLC (The Enclave at Cambridge)
- Cambridge SNF Healthcare LLC
- Cambridge Surgical Suites, LLC
- Cambridge Young Men's Christian Association
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.