Provider Demographics
NPI:1104172006
Name:EMBASSY CAPITAL GROUP, LLC.
Entity type:Organization
Organization Name:EMBASSY CAPITAL GROUP, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:REDD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:716-948-8113
Mailing Address - Street 1:229 W. GENESEE ST
Mailing Address - Street 2:#371
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201
Mailing Address - Country:US
Mailing Address - Phone:716-948-8113
Mailing Address - Fax:
Practice Address - Street 1:368 BROADWAY
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14204
Practice Address - Country:US
Practice Address - Phone:716-948-8113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-28
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment