Provider Demographics
NPI:1821458910
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:727-223-4367
Mailing Address - Fax:
Practice Address - Street 1:3060 ALTERNATE US 19
Practice Address - Street 2:SUITE B-15
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-1929
Practice Address - Country:US
Practice Address - Phone:727-223-4367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMBASSADOR HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-02
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017350300Medicaid
FL299994523OtherAHCA-HOME HEALTH AGENCY
FL022603200Medicaid