Provider Demographics
NPI:1669003570
Name:AMBASSADORE HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:AMBASSADORE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMALYN
Authorized Official - Middle Name:VANO
Authorized Official - Last Name:ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-991-3213
Mailing Address - Street 1:17100 PIONEER BLVD STE 270
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-2736
Mailing Address - Country:US
Mailing Address - Phone:562-991-3213
Mailing Address - Fax:562-286-8989
Practice Address - Street 1:17100 PIONEER BLVD STE 270
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-2736
Practice Address - Country:US
Practice Address - Phone:562-505-2560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based