Ambassador Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0004077 Issued in IL

Legal business name

AMBASSADOR NURSING CENTER

Practice address

4900 N Bernard St
Attn: Leonard Weiss
Chicago, IL 60625-5146

Phone

(773) 583-7130

Fax

(773) 583-3929

NPI assigned

Nov 4, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leonard Weiss

Title

Cfo

Phone

(847) 674-7600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093706277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N BERNARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255146",
            "telephone_number": "773-583-7130",
            "fax_number": "773-583-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N BERNARD ST",
            "address_2": "ATTN: LEONARD WEISS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255146",
            "telephone_number": "773-583-7130",
            "fax_number": "773-583-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-674-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0004077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amazing Medical Transport Services Inc
• Ambaco Limited
• Manoj Shivasankar Ambalavanan, MD
• Shivani Ambardekar, MD
• Ambassador Nursing and Rehabilitation Center II LLC
• Neba Ambe
• Ambedo Psychotherapy PLLC
• Amber E Mills DC LTD.
• Amber J Barger PSYD PLLC
• Amber Smiles

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.