Active NPI
Ambassador Home Care Services LLC
- Homemaker
- Philadelphia, PA
National Provider Identifier
1194334466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037340770001 | Other | PA | HOME CARE |
National Provider Directory
National Provider DirectoryNPI 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.