Ambassadore Health Care-Sacramento, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMBASSADORE HEALTH CARE-SACRAMENTO, INC.

Practice address

1851 Heritage LN Ste 281
Sacramento, CA 95815-4923

Phone

(916) 658-3002

Fax

(916) 282-1615

NPI assigned

May 11, 2021

Last updated

May 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emmalyn Vano Alcantara

Title

President/Ceo

Phone

(310) 713-9968

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821672387. Details of each certification follow.

• CCN 757830 Home health agency · Active · Details

Home health agency certification: CCN 757830

Legal name

AMBASSADORE HEALTH CARE-SACRAMENTO, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 19, 2024

Last certification

May 30, 2024

Organization structure

CorporationProprietary

Incorporated

May 7, 2021 in CA

Enrollment address

1851 Heritage LN
Ste 281
Sacramento, CA 95815-4923

Listed as

Ambassadore Health Care- Sacramento, Inc.CCN 757830 · All quality measures

Ownership

-

Certified

Jun 19, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1821672387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HERITAGE LN STE 281",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154923",
            "telephone_number": "916-658-3002",
            "fax_number": "916-282-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 HERITAGE LN STE 281",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154923",
            "telephone_number": "916-658-3002",
            "fax_number": "916-282-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADORE HEALTH CARE-SACRAMENTO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "EMMALYN",
        "authorized_official_middle_name": "VANO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-713-9968"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ahcisacramento@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1851 Heritage Ln Ste 281",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958154923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Austin Amasowomwan, DNP
• Ann Butler Amato, LCSW
• Brandon William Amato
• Cecily M Amato, PHARM D
• Chloe Adrianna Ambalong, PA
• Rex Ambatali Jr., AGACNP-BC, PMHNP-BC
• Ambience Home Health Care
• Tara Amble, C.N.A
• Melissa Ambris
• Prerna Ambrish

• Home Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.

Verify at the official NPI Registry.