Provider Demographics
NPI:1073117446
Name:AMBIENT HOSPICE INC
Entity Type:Organization
Organization Name:AMBIENT HOSPICE INC
Other - Org Name:AMBIENT HOSPICE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EBERE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISIGUZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-427-2444
Mailing Address - Street 1:8303 SOUTHWEST FWY STE 151
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1600
Mailing Address - Country:US
Mailing Address - Phone:713-440-9979
Mailing Address - Fax:713-493-7222
Practice Address - Street 1:8303 SOUTHWEST FWY STE 151
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1600
Practice Address - Country:US
Practice Address - Phone:713-440-9979
Practice Address - Fax:713-493-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient