Cambrian Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAMBRIAN HOMECARE, LLC

Practice address

27994 Bradley Rd Ste a
Sun City, CA 92586-2240

Phone

(651) 699-0206

NPI assigned

Nov 6, 2024

Organization subpart

Yes

Parent organization

DUNGARVIN GROUP, INC.As reported in NPPES

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

Authorized official

Name

Lori Kress

Title

Ceo

Phone

(651) 699-0206

Specialties & licenses 1

Addresses

Tax ID family

Cambrian Homecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Cambrian Homecare, LLC

  • In Home Supportive Care Agency
  • Long Beach, CA
  • NPI 1518782135
  NPD tax ID
• Cambrian Homecare, LLC

  • Home Health Agency
  • Long Beach, CA
  • NPI 1770306938
  NPD tax ID

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1720801889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 NORTHLAND DR STE 200",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201032",
            "telephone_number": "651-699-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27994 BRADLEY RD STE A",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862240",
            "telephone_number": "651-699-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIAN HOMECARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNGARVIN GROUP, INC.",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "KRESS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-699-0206"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Linn Brown, PT
• Michael R Bryant, DDS
• Gloria Burroughs, M.D.
• California Imaging & Diagnostics Medical Group, Inc.
• Cambrian Homecare
• Stephanie Rae Canani, M.S.
• Carolyn Ghazal, D.D.S., Inc
• Melanee B. Carpenter-Lay, LMFT
• Michael Cartwright
• Su Ann Catron, OPT

• In Home Supportive Care Agency in Sun City, CA
• Providers in Sun City, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.