Organization Active NPI

Ambercare Medical Supply Company

  • Durable Medical Equipment & Medical Supplies
  • Santa Fe, NM
National Provider Identifier
1174857163
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMBERCARE MEDICAL SUPPLY COMPANY
Practice address
550 Saint Michaels Dr
Suite D
Santa Fe, NM 87505
Phone
(505) 982-4098
Fax
(505) 216-0179
NPI assigned
Sep 24, 2009
Organization subpart
Yes
Parent organization
ADDUS HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Diane Kumarich, RN, MBA, MS
Title
VP National Contracts
Phone
(630) 296-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

550 Saint Michaels Dr
Suite D
Santa Fe, NM 87505

Mailing address

2300 Warrenville Rd.
Ste 100
Downers Grove, IL 60515-1765
Phone (630) 296-3400

National Provider Directory

National Provider Directory
Part of
Addus Healthcare Inc

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1174857163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WARRENVILLE RD.",
            "address_2": "STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151765",
            "telephone_number": "630-296-3400",
            "fax_number": "630-487-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SAINT MICHAELS DR",
            "address_2": "SUITE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-982-4098",
            "fax_number": "505-216-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERCARE MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HEALTHCARE, INC",
        "enumeration_date": "2009-09-24",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "KUMARICH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VP NATIONAL CONTRACTS",
        "authorized_official_telephone_number": "630-296-3530",
        "authorized_official_credential": "RN, MBA, MS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.