Roy Charles Ambomu Sr., RCA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

502 Kennedy St NW
Washington, DC 20011-3136

Phone

(202) 313-7283

NPI assigned

Mar 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amazing Love Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1730567991
  NPD (past)

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1255035796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 KENNEDY ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113136",
            "telephone_number": "202-313-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 KENNEDY ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113136",
            "telephone_number": "202-313-7283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 15th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024508",
            "country_code": "US",
            "telephone_number": "202-388-8500",
            "fax_number": "202-388-8509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 15th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024508",
            "country_code": "US",
            "telephone_number": "202-563-7632",
            "fax_number": "202-388-8509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBOMU",
        "first_name": "ROY",
        "middle_name": "CHARLES",
        "name_suffix": "Sr.",
        "credential": "RCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelia Okwen Ambeck Epse Njang
• Kidist Ambie
• Angwanande Ambomu
• Anni M Ambomu, HHA
• Franklin A Ambomu
• Zedeline Ambomu
• Donna Marie Ambrose, MSN, RN, CARN-AP
• Kelsey Ann Ambrose
• Latoya Symone Ambrose, DDS
• Taylor Ambrose

• All providers in Washington, DC
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.