Ambar Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991839 Issued in FL

Legal business name

AMBAR HOME HEALTH AGENCY, INC.

Practice address

633 NE 167TH St Ste 614
North Miami Beach, FL 33162-2444

Phone

(305) 690-4243

Fax

(305) 690-5883

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Maritza Hernandez

Title

Owner

Phone

(305) 690-4243

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1992812515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST STE 614",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622444",
            "telephone_number": "305-690-4243",
            "fax_number": "305-690-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST STE 614",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622444",
            "telephone_number": "305-690-4243",
            "fax_number": "305-690-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBAR HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-690-4243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER #",
            "identifier": "275362",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "651049300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.