NPIMap

Organization Active NPI

Ambassador Health Services Inc

Doing business as Care Options for Kids

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1396101192
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
399993950 Issued in FL
Legal business name
AMBASSADOR HEALTH SERVICES INC
Doing business as
Care Options for Kids
Practice address
3820 Colonial Blvd Ste 17
Unit 200
Fort Myers, FL 33966-1094
Phone
(239) 596-2746
Fax
(855) 640-7139
NPI assigned
Jan 8, 2016
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Kimberly Michelle Hunter
Title
Director of Contract Development
Phone
(727) 888-2844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 399993950 FL Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3820 Colonial Blvd Ste 17
Unit 200
Fort Myers, FL 33966-1094

Mailing address

3333 S Congress Ave Ste 100
Delray Beach, FL 33445-7300
Phone (561) 274-4149

Other identifiers 4

IdentifierTypeStateIssuer
016314800MedicaidFL
108170500MedicaidFL
021118800MedicaidFL
299993950OtherAHCA

Other names 1

  • Care Options for Kids Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2136028Care Options for Kids3820 Colonial Blvd - Ste 17 - Unit 200, Fort Myers, FL 33966Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ambassador Health Services Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3333 S Congress Ave
Ste 100
Delray Beach, FL 33445
Phone (561) 274-4149

3820 Colonial Blvd
Ste 17
Fort Myers, FL 33966

9853 Tamiami Trl N
Ste 220
Naples, FL 34108

1008 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 580-0100

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1396101192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S CONGRESS AVE STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457300",
            "telephone_number": "561-274-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 COLONIAL BLVD STE 17",
            "address_2": "UNIT 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661094",
            "telephone_number": "239-596-2746",
            "fax_number": "855-640-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACT DEVELOPMENT",
        "authorized_official_telephone_number": "727-888-2844"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "399993950",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016314800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108170500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021118800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299993950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Options for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.