Active NPI
Ambassadore Hospice Care, Inc.
- Community Based Hospice Care Agency
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMBASSADORE HOSPICE CARE, INC.
- Practice address
- 3939 Atlantic Ave Ste 223a
Long Beach, CA 90807-3536 - Phone
- (562) 991-3213
- Fax
- (562) 286-8989
- NPI assigned
- Jan 29, 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
- Emmalyn Vano Alcantara
- Title
- Ceo
- Phone
- (310) 713-9968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3939 Atlantic Ave Ste 223a
Long Beach, CA 90807-3536
Mailing address
3939 Atlantic Ave Ste 223a
Long Beach, CA 90807-3536
Phone (562) 991-3213
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | hospice@ambassadorehealthcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211119001377 | CA | Part A Provider - Hospice | 8628467271 | Practice locations: Artesia, CA |
Hospice certification: CCN B51695
- Legal name
- AMBASSADORE HOSPICE CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 5, 2023
- Last certification
- Mar 30, 2023
- Organization structure
- Corporation
- Incorporated
- Dec 16, 2019 in CA
- Enrollment address
- 17100 Pioneer Blvd
Ste 270a
Artesia, CA 90701-2776
Care Compare: Hospice
Medicare Care Compare- Listed as
- Ambassadore Hospice Care, Inc.
- Certified
- Apr 5, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2262912 | Ambassadore Hospice Care, Inc | Certificate of waiver | Jun 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
17100 Pioneer Blvd
Ste 270A
Artesia, CA 90701
Phone (562) 991-3213
17100 Pioneer Blvd
Ste 270
Artesia, CA 90701
Phone (562) 409-4110
3939 Atlantic Ave
Ste 223A
Long Beach, CA 90807
Phone (562) 991-3213
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Emmalyn V Alcantara | 5% Or Greater Direct Ownership Interest | Dec 16, 2019 | 100% |
| Corporate Officer | Dec 16, 2019 | 100% | |
| Corporate Director | Dec 16, 2019 | 100% | |
| W-2 Managing Employee | Dec 16, 2019 | 100% | |
| Operational/Managerial Control | Dec 16, 2019 | 100% | |
| Roma Ian Librando Noval | W-2 Managing Employee | Nov 9, 2021 | |
| Christopher Koon Sing Jong | Contracted Managing Employee | Feb 11, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- South Pasadena, CA
- NPI 1336336700
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- South Pasadena, CA
- NPI 1336336700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1669003570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 ATLANTIC AVE STE 223A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073536",
"telephone_number": "562-991-3213",
"fax_number": "562-286-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 ATLANTIC AVE STE 223A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073536",
"telephone_number": "562-991-3213",
"fax_number": "562-286-8989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBASSADORE HOSPICE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-29",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "VANO ALCANTARA",
"authorized_official_first_name": "EMMALYN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-713-9968"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "hospice@ambassadorehealthcare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3939 Atlantic Ave Ste 223A",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908073536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.