Ambassador Health Services Inc
Organization Active NPI Home Health Agency · Palm Harbor, FL
NPI 1821458910 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1821458910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AMBASSADOR HEALTH SERVICES INC
- Practice address
- 3060 Alternate US 19
Suite B-15
Palm Harbor, FL 34683-1929 - Phone
- (727) 223-4367
- NPI assigned
- Mar 2, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- AMBASSADOR HEALTH SERVICES, INC.
Authorized official
- Name
- Kimberly Michelle Hunter
- Title
- Director of Contract Development
- Phone
- (727) 888-2844
Corporate family (same tax ID) 10
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2136026 | Care Options for Kids | Certificate of waiver | Aug 30, 2027 |
National Provider Directory
- Tax ID family
- Ambassador Health Services Inc
- Part of
- Ambassador Health Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
3060 Alternate US 19
Suite B-15
Palm Harbor, FL 34683-1929
Mailing address
3333 S Congress Ave Ste 100
Delray Beach, FL 33445-7300
Phone (727) 223-4367
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017350300 | Medicaid | FL | |
| 299994523 | Other | FL | AHCA-HOME HEALTH AGENCY |
| 022603200 | Medicaid | FL |
Other names
- Care Options for Kids
Other providers in Palm Harbor, FL
- Zachary Altman
- Alfred F Alvarez
- Julie Alvarez
- Caroline Alves Serbonchini
- Amanda Medical
- Marisa Brooke Ament
- American Primary Care, Inc.
- Ami Degala, PLLC
- Sanjiv Pravin Amin
- Amt Ventures
All providers in Palm Harbor, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.