NPIMap

Organization Active NPI

Ambient Medical Care, LLC

Doing business as Ambient Care Express

  • Urgent Care Clinic/Center
  • Harrington, DE
National Provider Identifier
1063864080
Registry record updated Jul 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
2016604668 Issued in DE
Legal business name
AMBIENT MEDICAL CARE, LLC
Doing business as
Ambient Care Express
Practice address
1000 Midway Dr
Suite 11B
Harrington, DE 19952-2448
Phone
(302) 629-3099
NPI assigned
Jul 2, 2016
Last updated
Jul 2, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
AMBIENT MEDICAL CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert HenryNPI 1437138351
Title
Practice Manager
Phone
(410) 603-8457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 2016604668 DE Primary

Addresses

Primary practice location

1000 Midway Dr
Suite 11B
Harrington, DE 19952-2448

Mailing address

1000 Midway Dr
Suite 11B
Harrington, DE 19952-2448
Phone (302) 629-3099

Other names 1

  • Ambient Care Express Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080915000214 DE Part B Supplier - Clinic/Group Practice 3577639640 Receives reassigned benefits from 21 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Delmar, DE; Harrington, DE; Milford, DE; Seaford, DE

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ambient Care Express Milford6 organizations share this tax ID, including this one
Part of
Ambient Care Express Milford

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467417600000",
    "number": "1063864080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY DR",
            "address_2": "SUITE 11B",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199522448",
            "telephone_number": "302-629-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MIDWAY DR",
            "address_2": "SUITE 11B",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199522448",
            "telephone_number": "302-629-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIENT MEDICAL CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBIENT MEDICAL CARE, LLC",
        "enumeration_date": "2016-07-02",
        "last_updated": "2016-07-02",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-603-8457"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "DE",
            "license": "2016604668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambient Care Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.