Provider Demographics
NPI:1154183119
Name:AMBITION HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:AMBITION HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:UGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-551-3999
Mailing Address - Street 1:10701 CORPORATE DR STE 392
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4036
Mailing Address - Country:US
Mailing Address - Phone:713-657-0087
Mailing Address - Fax:713-772-6998
Practice Address - Street 1:10701 CORPORATE DR STE 392
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4036
Practice Address - Country:US
Practice Address - Phone:713-657-0087
Practice Address - Fax:713-772-6998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health