Cambridge Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CAMBRIDGE CARE CENTER LLC

Practice address

1685 Eaton St
Lakewood, CO 80214-1680

Phone

(303) 232-4405

Fax

(303) 232-0805

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Mary Koretke

Title

Director Cost Reporting

Phone

(303) 378-8320

Specialties & licenses 1

Addresses

Other names 1

• Cambridge Care Center Doing business as

Tax ID family

Cambridge Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cambridge Care Center LLC

  • Skilled Nursing Facility
  • Lakewood, CO
  • NPI 1790508976
  NPD tax ID

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1679326656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD STE 211",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "720-974-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141680",
            "telephone_number": "303-232-4405",
            "fax_number": "303-232-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR COST REPORTING",
        "authorized_official_telephone_number": "303-378-8320"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Lynn Caldwell, D.D.S.
• Heather Michelle Call, PA-C
• Richard Roland Callahan, DDS
• William Callison, RPA
• Calm Clarity Therapy PLLC
• Cambridge Care Center LLC
• Jayce Cameron, PT
• Taylor Laine Cammack, DO
• Melissa Camp, RDN
• Douglas Martin Campbell, D.O.

• Skilled Nursing Facility in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.