Ambassador Healthcare, Llc

LBN: Ambassador Healthcare, Llc
Ambassador Healthcare, Llc is an health care organization with primary practice located at 705 E Main St , Centerville IN 47330-9676. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ambassador Healthcare, Llc can be contacted via phone (765) 855-3424, or through Cook, K. Douglas via phone (317) 577-4150.

Contact Information

Primary practice address
705 E Main St Centerville IN 47330-9676
Fax: (765) 855-1087
Website:
Authorized official contact:
Name: Cook, K. Douglas

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 050004561 Indiana

Profile Details

NPI number 1356336861
LBN Legal business name Ambassador Healthcare, Llc
DBA Doing business as
Authorized official Cook, K. Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Dec 1st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356336861 NPPES
Indiana Other 000000315404 BC/BS PROVIDER NUMBER

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