Provider Demographics
NPI:1174286843
Name:AMBASSADORE HEALTH CARE HOUSTON, INC.
Entity Type:Organization
Organization Name:AMBASSADORE HEALTH CARE HOUSTON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMMALYN
Authorized Official - Middle Name:VANO
Authorized Official - Last Name:ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-713-9968
Mailing Address - Street 1:3934 FM 1960 RD W STE 345
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3541
Mailing Address - Country:US
Mailing Address - Phone:832-823-9044
Mailing Address - Fax:346-388-0017
Practice Address - Street 1:3934 FM 1960 RD W STE 345
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3541
Practice Address - Country:US
Practice Address - Phone:832-823-9044
Practice Address - Fax:346-388-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care