Organization Active NPI

Ambassadore Health Care, Inc.

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1639849169
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMBASSADORE HEALTH CARE, INC.
Practice address
8166 Woodland Center Blvd
Tampa, FL 33614-2418
Phone
(328) 239-0448
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Ms. Emmalyn Vano Alcantara
Title
Ceo/President
Phone
(310) 713-9968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8166 Woodland Center Blvd
Tampa, FL 33614-2418

Mailing address

8166 Woodland Center Blvd
Tampa, FL 33614-2418
Phone (832) 823-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230508002455 FL Part A Provider - Home Health Agency 9638534662 Practice locations: Tampa, FL

Home health agency certification: CCN 687336

Legal name
AMBASSADORE HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 30, 2024
Last certification
Apr 10, 2024
Organization structure
CorporationProprietary
Incorporated
Apr 29, 2021 in FL
Enrollment address
8166 Woodland Center Blvd
Tampa, FL 33614-2418

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ambassadore Health Care IncCCN 687336 · All quality measures
Ownership
-
Certified
Apr 30, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8270 Woodland Center Blvd
Ste 108
Tampa, FL 33614
Phone (813) 449-4335

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rommel Gomez Alcantara Individual 5% Or Greater Direct Ownership InterestCorporate Treasurer/Secretary May 14, 2021 10%
Corporate OfficerCorporate Treasurer/Secretary May 14, 2021 10%
Corporate DirectorCorporate Treasurer/Secretary May 14, 2021 10%
W-2 Managing EmployeeCorporate Treasurer/Secretary May 14, 2021 10%
Emmalyn V Alcantara Individual 5% Or Greater Direct Ownership InterestPresident/Ceo/Director N/a Apr 29, 2021 85%
Corporate OfficerPresident/Ceo/Director N/a Apr 29, 2021 85%
Corporate DirectorPresident/Ceo/Director N/a Apr 29, 2021 85%
W-2 Managing EmployeePresident/Ceo/Director N/a Apr 29, 2021 85%
Operational/Managerial ControlPresident/Ceo/Director N/a Apr 29, 2021 85%
Edgardo Bilbao Individual 5% Or Greater Direct Ownership InterestVP May 14, 2021 5%
Corporate OfficerVP May 14, 2021 5%
Corporate DirectorVP May 14, 2021 5%
W-2 Managing EmployeeVP May 14, 2021 5%
Operational/Managerial ControlVP May 14, 2021 5%

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1639849169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8166 WOODLAND CENTER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142418",
            "telephone_number": "832-823-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 WOODLAND CENTER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142418",
            "telephone_number": "328-239-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADORE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "EMMALYN",
        "authorized_official_middle_name": "VANO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-713-9968",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.