Provider Demographics
NPI:1174317291
Name:CAMBRIDGE HOMECARE AGENCY LLC
Entity type:Organization
Organization Name:CAMBRIDGE HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANEKA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HURDLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:336-500-8295
Mailing Address - Street 1:2107 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-5111
Mailing Address - Country:US
Mailing Address - Phone:336-500-8295
Mailing Address - Fax:336-500-8264
Practice Address - Street 1:2107 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-5111
Practice Address - Country:US
Practice Address - Phone:336-500-8295
Practice Address - Fax:336-500-8264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health