Provider Demographics
NPI:1477222941
Name:AMBASSADORE HOSPICE CARE, INC
Entity Type:Organization
Organization Name:AMBASSADORE HOSPICE CARE, INC
Other - Org Name:AMBASSADORE HOSPICE CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES/CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANO ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-803-7980
Mailing Address - Street 1:1597 E WINDMILL LN STE 400
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1921
Mailing Address - Country:US
Mailing Address - Phone:702-803-7980
Mailing Address - Fax:702-608-9049
Practice Address - Street 1:1597 E WINDMILL LN STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1921
Practice Address - Country:US
Practice Address - Phone:702-803-7980
Practice Address - Fax:702-608-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based