Organization Active NPI

Ambassadore Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Long Beach, CA
National Provider Identifier
1669003570
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Apr 8, 2026

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL hospice@ambassadorehealthcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN B51695
Certified
Apr 5, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2262912Ambassadore Hospice Care, Inc3939 Atlantic Ave Ste 223a, Long Beach, CA 90807Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Emmalyn V Alcantara Individual 5% Or Greater Direct Ownership InterestCeo/President/Administrator Dec 16, 2019 100%
Corporate OfficerCeo/President/Administrator Dec 16, 2019 100%
Corporate DirectorCeo/President/Administrator Dec 16, 2019 100%
W-2 Managing EmployeeCeo/President/Administrator Dec 16, 2019 100%
Operational/Managerial ControlCeo/President/Administrator Dec 16, 2019 100%
Roma Ian Librando Noval Individual W-2 Managing EmployeeAdministrative Asst./Office Manager Nov 9, 2021
Christopher Koon Sing Jong Individual Contracted Managing EmployeeMedical Director 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.