Provider Demographics
NPI:1326563438
Name:AMBASSADORS ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:AMBASSADORS ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-521-2221
Mailing Address - Street 1:7205 ALMEDA RD STE 301189
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2191
Mailing Address - Country:US
Mailing Address - Phone:713-521-2221
Mailing Address - Fax:866-873-9006
Practice Address - Street 1:7205 ALMEDA RD STE 301189
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2191
Practice Address - Country:US
Practice Address - Phone:713-521-2221
Practice Address - Fax:866-873-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care