CAMBRIDGE HOUSE OF OFALLON
NPI 1932304789
Assisted Living Facility in O Fallon, IL

Active since June 20, 2007CLIA 14D2197355 · Waiver
844 CAMBRIDGE BLVD, O FALLON, IL 62269(618) 624-9900(618) 624-9904 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cambridge House Of Ofallon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMBRIDGE HOUSE OF OFALLON (NPI 1932304789) is a healthcare organization registered as an assisted living facility in O Fallon, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Deborah Kay Patterson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1932304789
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCAMBRIDGE HOUSE OF OFALLON
Location Address844 CAMBRIDGE BLVDO Fallon, IL 62269-1976
Mailing Address844 Cambridge BlvdO Fallon, IL 62269-1976 · (618) 624-9900 · Fax (618) 624-9904
Fax(618) 624-9904
Organization SubpartNo
Authorized OfficialDeborah Kay PattersonAdministrator · (618) 624-9900
Enumeration DateJune 20, 2007
Last NPPES UpdateAugust 7, 2007
NPI 1932304789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

844 CAMBRIDGE BLVD, O Fallon, IL 62269

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2197355
Facility Type
Assisted Living Facility
Certificate Effective Date
October 23, 2024
Certificate Expiration Date
October 22, 2026
Laboratory Director
SCOTT W. DOULGAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cambridge House Of Ofallon to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CAMBRIDGE HOUSE OF OFALLON

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
844 CAMBRIDGE BLVD
O FALLON, IL 62269
Occupational Therapist
844 CAMBRIDGE BLVD
O FALLON, IL 62269
Occupational Therapist
844 CAMBRIDGE BLVD
O FALLON, IL 62269
Speech-Language Pathologist
844 CAMBRIDGE BLVD
O FALLON, IL 62269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932304789, enumerated as an "organization" on June 20, 2007.

The provider is located at 844 CAMBRIDGE BLVD O FALLON, IL 62269 and the phone number is (618) 624-9900.

Assisted Living Facility with taxonomy code 310400000X.