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CAMBRIDGE HOUSE OF MARYVILLE
NPI 1942407200
Assisted Living Facility in Maryville, IL

Active since June 29, 2007CLIA 14D2198244 · Waiver
6960 STATE ROUTE 162, MARYVILLE, IL 62062(618) 288-2211(618) 288-2299 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Cambridge House Of Maryville NPPES

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

CAMBRIDGE HOUSE OF MARYVILLE (NPI 1942407200) is a healthcare organization registered as an assisted living facility in Maryville, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Pamela Jane Fellows, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942407200
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCAMBRIDGE HOUSE OF MARYVILLE
Location Address6960 STATE ROUTE 162Maryville, IL 62062-8532
Mailing Address6960 State Route 162Maryville, IL 62062-8532 · (618) 288-2211 · Fax (618) 288-2299
Phone(618) 288-2211
Fax(618) 288-2299
Organization SubpartNo
Authorized OfficialPamela Jane FellowsAdministrator · (618) 288-2211
Enumeration DateJune 29, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1942407200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IL · 001
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.
6960 STATE ROUTE 162, Maryville, IL 62062
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2198244

Cambridge House Of Maryville · Maryville, IL
Active · expires Oct 29, 2026
CLIA Number14D2198244
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorKara N. Luca
Laboratory Phone(618) 288-2211
Laboratory LocationCambridge House Of Maryville6960 State Route 162, Maryville, IL 62062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cambridge House Of Maryville's NPI number?

The NPI number for Cambridge House Of Maryville is 1942407200. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Cambridge House Of Maryville located?

Cambridge House Of Maryville is located at 6960 State Route 162, Maryville, IL 62062. The listed phone number is (618) 288-2211.

What is Cambridge House Of Maryville's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Cambridge House Of Maryville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2198244) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cambridge House Of Maryville was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.