Amberark Haven Residence

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AMBERARK HAVEN RESIDENCE

Practice address

4218 Parkwood Dr
San Antonio, TX 78218-5024

Phone

(210) 640-4488

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Maureen Alexander

Title

Onwer

Phone

(646) 591-5143

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1598518334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SCOFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 PARKWOOD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782185024",
            "telephone_number": "210-640-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERARK HAVEN RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "646-591-5143"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amazing Home Community Services
• Amazing Life Home Healthcare, Inc
• Amazing Peace Home Care, LLC
• Amb Vision Associates PLLC
• Amber Lantern, LLC
• Rita Ambriz
• Guermon Ambroise
• Sugumar Ambrose, MD
• Ambulance Service Elysium LLC
• Ambulatory Strategies Physician Group

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.