Provider Demographics
NPI:1013598952
Name:AMBASSADORE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:AMBASSADORE HEALTH CARE, INC.
Other - Org Name:AMBASSADORE HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EMMALYN
Authorized Official - Middle Name:VANO
Authorized Official - Last Name:ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-361-8000
Mailing Address - Street 1:1597 E WINDMILL LN STE 400
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1921
Mailing Address - Country:US
Mailing Address - Phone:702-361-8000
Mailing Address - Fax:702-361-8001
Practice Address - Street 1:1597 E WINDMILL LN STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1920
Practice Address - Country:US
Practice Address - Phone:702-361-8000
Practice Address - Fax:702-361-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health