Organization Active NPI

Cambridge Care Group

Doing business as Cambridge Caregivers

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1750608055
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAMBRIDGE CARE GROUP
Doing business as
Cambridge Caregivers
Practice address
4707 N Broadway St
3Rd Floor
Chicago, IL 60640-4999
Phone
(773) 856-5525
Fax
(773) 681-7254
NPI assigned
Apr 26, 2010
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Ms. Ingrid S McKenzie
Title
President
Phone
(773) 856-5525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL
In Home Supportive Care Agency 253Z00000X IL Primary

Addresses

Primary practice location

4707 N Broadway St
3Rd Floor
Chicago, IL 60640-4999

Mailing address

4707 N Broadway St
Chicago, IL 60640-4999
Phone (773) 856-5525

Other names 1

  • Cambridge Caregivers Doing business as

National Provider Directory

National Provider Directory

Locations

4707 N Broadway St
Fl 3
Chicago, IL 60640
Phone (773) 856-5525

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1750608055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404999",
            "telephone_number": "773-856-5525",
            "fax_number": "773-681-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 N BROADWAY ST",
            "address_2": "3RD FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404999",
            "telephone_number": "773-856-5525",
            "fax_number": "773-681-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-856-5525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.