Cambridge Adult Day Center Poplar Bluff, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1301 Issued in MO

Legal business name

CAMBRIDGE ADULT DAY CENTER POPLAR BLUFF, LLC

Practice address

2162 N Westwood Blvd
Poplar Bluff, MO 63901-2440

Phone

(573) 609-2190

NPI assigned

Dec 22, 2015

Organization subpart

No

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

Authorized official

Name

James Lyle

Title

Owner/Managing Member

Phone

(314) 795-8677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1780049569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012440",
            "telephone_number": "573-609-2190",
            "fax_number": "573-609-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012440",
            "telephone_number": "573-609-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE ADULT DAY CENTER POPLAR BLUFF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "314-795-8677"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C & S Family Medical
• Robert Joseph Cacchione, MD
• Cynthia Cagle
• Fred M. Caldwell, M.D.
• Hannah Callahan
• Karen Elizabeth Campa, LCSW/MSW
• Alexis Campbell
• Caleb Joseph Campbell, CTRS
• Mack Lee Campbell
• Stacy Jo Campbell, PTA

• Adult Day Care Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.