Organization Active NPI

Ambassador Home Care Services LLC

  • Homemaker
  • Philadelphia, PA
National Provider Identifier
1194334466
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
AMBASSADOR HOME CARE SERVICES LLC
Practice address
118080 Bustleton Av
Suite 301
Philadelphia, PA 19116
Phone
(215) 486-1080
Fax
(215) 613-8788
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Mrs. Marina Amerkhanova
Title
Administrator
Phone
(267) 258-3396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

118080 Bustleton Av
Suite 301
Philadelphia, PA 19116

Mailing address

626 Jacksonville Rd
Warminster, PA 18974-4872
Phone (267) 770-6729

Other identifiers 1

IdentifierTypeStateIssuer
1037340770001OtherPAHOME CARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1194334466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 JACKSONVILLE RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744872",
            "telephone_number": "267-770-6729",
            "fax_number": "215-613-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118080 BUSTLETON AV",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-486-1080",
            "fax_number": "215-613-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "AMERKHANOVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-258-3396",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "1037340770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.