Active NPI
Cambridge House of Ofallon
- Assisted Living Facility
- O Fallon, IL
National Provider Identifier
1932304789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CAMBRIDGE HOUSE OF OFALLON
- Practice address
- 844 Cambridge Blvd
O Fallon, IL 62269-1976 - Phone
- (618) 624-9900
- Fax
- (618) 624-9904
- NPI assigned
- Jun 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah Kay Patterson, R.N., N.H.A.
- Title
- Administrator
- Phone
- (618) 624-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | IL | Primary |
Addresses
Primary practice location
844 Cambridge Blvd
O Fallon, IL 62269-1976
Mailing address
844 Cambridge Blvd
O Fallon, IL 62269-1976
Phone (618) 624-9900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186444800000",
"number": "1932304789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 CAMBRIDGE BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691976",
"telephone_number": "618-624-9900",
"fax_number": "618-624-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 CAMBRIDGE BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691976",
"telephone_number": "618-624-9900",
"fax_number": "618-624-9904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE HOUSE OF OFALLON",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2007-08-07",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "618-624-9900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N., N.H.A."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.