NPIMap

Ambassador Health Services Inc

Organization Active NPI Home Health Agency · Delray Beach, FL

NPI 1770949356 · NPPES record last updated Oct 30, 2023

Key facts

NPI
1770949356
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
299993576 (FL)
Legal business name
AMBASSADOR HEALTH SERVICES INC
Practice address
3333 S Congress Ave Ste 100
Delray Beach, FL 33445-7300
Phone
(954) 429-8798
Fax
(954) 698-9046
NPI assigned
Jan 12, 2016
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 10

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2136030Care Options for Kids
3333 S Congress Ave, Delray Beach, FL 33445		Certificate of waiverAug 30, 2027

National Provider Directory

Tax ID family
Ambassador Health Services Inc (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993576 FL Yes
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3333 S Congress Ave Ste 100
Delray Beach, FL 33445-7300

Mailing address

3333 S Congress Ave
Suite 100
Delray Beach, FL 33445-7308
Phone (954) 429-8798

Other identifiers

IdentifierTypeStateIssuer
018501900MedicaidFL
299994431OtherFLAHCA LICENSE-PREVIOUSLY OPEN SYSTEMS
108151900MedicaidFL
003759401MedicaidFL
299993576OtherFLACHA LICENSE

Other names

  • Care Options for Kids Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 30, 2023.

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1770949356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S CONGRESS AVE",
            "address_2": "SUITE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457308",
            "telephone_number": "954-429-8798",
            "fax_number": "954-698-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S CONGRESS AVE STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457300",
            "telephone_number": "954-429-8798",
            "fax_number": "954-698-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "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": "299993576",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018501900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE-PREVIOUSLY OPEN SYSTEMS",
            "identifier": "299994431",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108151900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003759401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA LICENSE",
            "identifier": "299993576",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Options for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

All providers in Delray Beach, FL · Home Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.