Provider Demographics
NPI:1275742272
Name:AMBIENT CARE INC
Entity Type:Organization
Organization Name:AMBIENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRAHON
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-728-1548
Mailing Address - Street 1:8507 WOODBRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-2003
Mailing Address - Country:US
Mailing Address - Phone:813-728-1548
Mailing Address - Fax:813-882-9064
Practice Address - Street 1:8507 WOODBRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-2003
Practice Address - Country:US
Practice Address - Phone:813-728-1548
Practice Address - Fax:813-882-9064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228726251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health