Provider Demographics
NPI:1134941081
Name:AMBI GROUP LLC
Entity type:Organization
Organization Name:AMBI GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NDUMU
Authorized Official - Middle Name:ANUH
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-871-7869
Mailing Address - Street 1:7200 S 84TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-2116
Mailing Address - Country:US
Mailing Address - Phone:402-871-7869
Mailing Address - Fax:531-484-2788
Practice Address - Street 1:7200 S 84TH ST STE 6
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-2116
Practice Address - Country:US
Practice Address - Phone:402-871-7869
Practice Address - Fax:531-484-2788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty