Provider Demographics
NPI:1336699628
Name:AMBAHCARE LLC
Entity Type:Organization
Organization Name:AMBAHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERNOR
Authorized Official - Middle Name:AMADU
Authorized Official - Last Name:BAH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:614-323-7717
Mailing Address - Street 1:1393 GREENCROFT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1781
Mailing Address - Country:US
Mailing Address - Phone:614-323-7717
Mailing Address - Fax:
Practice Address - Street 1:1393 GREENCROFT RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1781
Practice Address - Country:US
Practice Address - Phone:614-649-4550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416L0300X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport