Cambridge HHA LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAMBRIDGE HHA LLC

Practice address

250 Lombard St Ste 7
Thousand Oaks, CA 91360-8213

Phone

(323) 831-0031

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Srbuhi Durghutyan

Title

Managing Member

Phone

(323) 831-0031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559484

Legal name

CAMBRIDGE HHA LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 11, 2021

Last certification

Feb 11, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 8, 2019 in CA

Enrollment address

250 Lombard St
Ste 7
Thousand Oaks, CA 91360-8213

Listed as

Cambridge HHA LLCCCN 559484

Ownership

Proprietary

Certified

Feb 11, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1710445200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LOMBARD ST STE 7",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LOMBARD ST STE 7",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608213",
            "telephone_number": "323-831-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE HHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "DURGHUTYAN",
        "authorized_official_first_name": "SRBUHI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "323-831-0031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leslie Arianna Campos
• Oscar Cancino
• Joshua Ubaldo Canjura

• Home Health Agency in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.