Provider Demographics
NPI:1265952691
Name:AMBAZONE HOME HEALTH LLC
Entity type:Organization
Organization Name:AMBAZONE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-412-2279
Mailing Address - Street 1:1515 E KEARNEY ST STE 400
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2687
Mailing Address - Country:US
Mailing Address - Phone:469-412-2279
Mailing Address - Fax:
Practice Address - Street 1:1515 E KEARNEY ST STE 400
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2687
Practice Address - Country:US
Practice Address - Phone:469-412-2279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care