Provider Demographics
NPI:1659730570
Name:AMBASSADOR HEALTH SERVICES INC
Entity Type:Organization
Organization Name:AMBASSADOR HEALTH SERVICES INC
Other - Org Name:CARE OPTIONS FOR KIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CONTRACT DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-888-2844
Mailing Address - Street 1:3333 S CONGRESS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-7300
Mailing Address - Country:US
Mailing Address - Phone:561-274-4148
Mailing Address - Fax:
Practice Address - Street 1:100 W LUCERNE CIR STE 500
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-3794
Practice Address - Country:US
Practice Address - Phone:321-768-0958
Practice Address - Fax:321-684-5203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299994540OtherAHCA
FL019017300Medicaid
FL100866000Medicaid
FL022604300Medicaid
FL022604300Medicaid