Ambie Bergados
Individual provider Active NPI In Home Supportive Care Agency · Baltimore, OH
NPI 1851908578 · NPPES record last updated Sep 27, 2020
Key facts
- NPI
- 1851908578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 11420 Heimberger Rd NW
Baltimore, OH 43105-9461 - Phone
- (740) 503-8564
- NPI assigned
- Sep 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
11420 Heimberger Rd NW
Baltimore, OH 43105-9461
Mailing address
11420 Heimberger Rd NW
Baltimore, OH 43105-9461
Phone (740) 503-8564
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2304036 | Medicaid | OH |
Other providers in Baltimore, OH
- Nancy Renee Augsburer
- John Barr
- Denise Barte
- Basil Joint Fire District
- Melissa Kay Bibler
- Erika Bruestle
- Susan Kay Calvertkayc
- Kendra Crago
- Christopher Duve
All providers in Baltimore, OH · In Home Supportive Care Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.